Angela Elcan, BCBA
Individual provider Active NPI Behavior Analyst · Saint Albans, VT
NPI 1982237152 · NPPES record last updated Feb 17, 2020
Key facts
- NPI
- 1982237152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 146.0134174 (VT)
- Practice address
- 107 Fisher Pond Rd
Saint Albans, VT 05478-6286 - Phone
- (802) 393-6425
- Fax
- (802) 524-3894
- NPI assigned
- Feb 17, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.0134174 | VT | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 146.0134174 | VT | Yes |
Addresses
Primary practice location
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Mailing address
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 393-6425
Other providers in Saint Albans, VT
- Brianna Durkin
- Desiree Dutkiewicz
- Marc Dutkiewicz
- Jennifer F Eaton
- Edward Pomicter, MD
- Elcm Homestead Management LLC
- Vincent Onchwati Elijah
- Elite Health and Wellness LLC
- Elizabeth Nelson DMD PC
- Cynthia Ellis
All providers in Saint Albans, VT · Behavior Analyst in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2020. 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.