Individual provider Active NPI

Angela Wiegman

  • Behavior Analyst
  • Mulberry, FL
National Provider Identifier
1457900342
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4171 Oak Loop Unit 69
Mulberry, FL 33860-9596
Phone
(865) 437-9074
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4171 Oak Loop Unit 69
Mulberry, FL 33860-9596

Mailing address

4171 Oak Loop Unit 69
Mulberry, FL 33860-9596
Phone (863) 315-4562

Other practice location 1

4061 Palmetto Ave SE
highland city, FL 33846
Phone (863) 315-4562

Other practice location 2

150 Avenue B SE
Winter Haven, FL 33880-3037
Phone (863) 315-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Adventures LLC Behavior Analyst CurrentSince Jul 31, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1457900342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 OAK LOOP UNIT 69",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338609596",
            "telephone_number": "863-315-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 OAK LOOP UNIT 69",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338609596",
            "telephone_number": "865-437-9074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4061 Palmetto Ave SE",
            "address_purpose": "LOCATION",
            "city": "highland city",
            "state": "FL",
            "postal_code": "33846",
            "country_code": "US",
            "telephone_number": "863-315-4562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Avenue B SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803037",
            "country_code": "US",
            "telephone_number": "863-315-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEGMAN",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mulberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.