Angela Nicole Thiel, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401001053 Issued in MI

Practice address

1075 Woodward Ave Lowr Level
Kingsford, MI 49802-4434

Phone

(906) 828-2088

Fax

(906) 771-8080

NPI assigned

Jan 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Northwoods Learning Center

  • Behavior Analyst
  • Kingsford, MI
  • NPI 1275283301
  NPD Authorized official

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1548890668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WOODWARD AVE LOWR LEVEL",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024434",
            "telephone_number": "906-828-2088",
            "fax_number": "906-771-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 WOODWARD AVE LOWR LEVEL",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024434",
            "telephone_number": "906-828-2088",
            "fax_number": "906-771-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@northwoodsaba.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1075 Woodward Ave Lowr Level",
            "city": "Kingsford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498024434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mollie Luella Steinbrecher
• Sarah Lyn Stelmaszek, RN
• Amanda Swanson
• Amanda Swenty
• Angela Sydor
• Kelsy Rae Thom, SST,QMHP,QIDP
• Karen Lynn Thompson, LLMSW
• Trico Opportunities, Inc.
• Angela C Tripp, PTA
• Suzanne Tusa

• All providers in Kingsford, MI
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.