Angela Rae Harsy, M.S. BCBA
Individual provider Active NPI Behavior Analyst · Du Quoin, IL
NPI 1770970964 · NPPES record last updated Apr 25, 2015
Key facts
- NPI
- 1770970964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-14-16352 (IL)
- Practice address
- 847 Wells Street Rd
Du Quoin, IL 62832-4161 - Phone
- (618) 559-2169
- NPI assigned
- Apr 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-16352 | IL | Yes |
Addresses
Primary practice location
847 Wells Street Rd
Du Quoin, IL 62832-4161
Mailing address
847 Wells Street Rd
Du Quoin, IL 62832-4161
Phone (618) 559-2169
Other providers in Du Quoin, IL
- Ezra Grimm
- Anita Jo Gross
- Samantha Kay Gross
- T'Aira Hampleman
- Elizabeth L. Harbison
- Shelby Hart
- Robert Erhardt Heisner II
- Adriane Marie Helmer
- Adam Jordan Henson
- Kurt Hermann
All providers in Du Quoin, IL · Behavior Analyst in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.