Angelina Allen

Individual provider Active NPI Behavior Technician · Grosse Pointe Woods, MI

NPI 1932069432 · NPPES record last updated Nov 17, 2025

Key facts

NPI
1932069432
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893
Phone
(313) 343-1370
NPI assigned
Nov 17, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893

Mailing address

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893

Other providers in Grosse Pointe Woods, MI

All providers in Grosse Pointe Woods, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.