Annie K Angel

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-32016 Issued in CA

Practice address

562 W Grand Ave
Escondido, CA 92025-2502

Phone

(760) 691-9622

Fax

(442) 999-5740

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Annie Kiet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Avid ABA Services

  • Community/Behavioral Health Agency
  • Escondido, CA
  • NPI 1205370806
  NPD (past)
• Avid in-Home Respite Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Escondido, CA
  • NPI 1548724321
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1740798883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252502",
            "telephone_number": "760-691-9622",
            "fax_number": "442-999-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252502",
            "telephone_number": "760-691-9622",
            "fax_number": "442-999-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "ANNIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-32016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "KIET",
            "credential": "ANNIE KIET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Curtis L Andrus, DMD, MD
• Rebecca Aneshansley
• Anesthesia Consultants of California Medical Group Inc
• Angel Chang MD, Inc.
• Angel Rose LTC Pharmacy Inc
• Angeles Hospice Care Inc.
• Aidanne Reuben Paul Angobung, PA-C
• Anne'S Place II
• Anne'S Place III
• Anne'S Place IV

• Behavior Analyst in Escondido, CA
• Providers in Escondido, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.