Jennifer Angulo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6447 Newville Ave
Las Vegas, NV 89103-3215

Phone

(702) 401-0142

NPI assigned

Mar 9, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2022.

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1730836628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 NEWVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033215",
            "telephone_number": "702-401-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 NEWVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033215",
            "telephone_number": "702-401-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGULO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Elizabeth Anguita, APRN
• Berenice Angulo-Garcia
• Anna Angulo
• Daniela Angulo, CASE MANAGER
• Elizabeth Angulo
• Stefanny Yineth Angulo
• Victoria A Angulo, MFT-I, CADC-I
• Anhton Q. Le, LLC
• Charito Aniag
• Eugene Nimes Aniag

• All providers in Las Vegas, NV
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.