ANGEL MACK (NPI# 1962032508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962032508 |
| Entity Type | Individual |
| Full Name | ANGEL MACK |
| Practice Address |
11925 Southwest Fwy Ste 5 Stafford TX 77477-2300 |
| Mailing Address |
3000 Woodland Park Dr Apt 2222 Houston TX 77082-2694 |
| Practice Telephone | 8324605121 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
11925 SOUTHWEST FWY STE 5 |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230445 | Corissa Marie Barrow | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-06-22 |
| 1518588219 | Sha'terrica Highsmith | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-05-04 |
| 1801421391 | Valeria Sanchez | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-03-05 |
| 1346875838 | Latasha Monae Montes | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-03-05 |
| 1568097988 | Ryan Wilson | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-03-05 |
| 1346875747 | Jamie Chaverra | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-03-05 |
| 1639704034 | Jenine C Weinstein | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-03-05 |
| 1780219279 | Erica Nicole Munoz | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-03-05 |
| 1497380984 | Logan Ann Gregory | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-03-05 |
| 1538794946 | Tam Nguyen | Behavior Technician | 11925 Southwest Fwy Ste 5, Stafford, TX 77477-2300 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702491 | Rita Anne Martinez | Behavioral Analyst | 8 Brandons Blf, Stafford, VA 22554-5300 | 2020-02-19 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1629555818 | Yi Hsuan Dorothy Lu | Behavioral Analyst | 11925 Southwest Fwy Ste 3b, Stafford, TX 77477-2300 | 2018-07-20 |
| 1356828545 | Jocelyn Edith Gomez | Behavioral Analyst | 11925 Southwest Fwy Unit 3b, Stafford, TX 77477-2300 | 2018-07-20 |
| 1154822732 | Celia Kellerman | Behavioral Analyst | 30 Fulton Dr, Stafford, VA 22554-7827 | 2018-02-28 |
| 1902304223 | Teena Castleberry | Behavioral Analyst | 10435 Greenbough Dr Ste 410, Stafford, TX 77477-5000 | 2018-02-01 |
| 1700394038 | Verna Jasmine Birch | Behavioral Analyst | 35 Walpole St Ste 207, Stafford, VA 22554-6546 | 2018-01-22 |
| 1568978310 | Talifa Bailey | Behavioral Analyst | 167 Short Branch Rd, Stafford, VA 22556-4642 | 2017-12-15 |
| 1295246486 | Aletta Jacoba Magdelena Nagel | Behavioral Analyst | 11 Hope Rd Ste 215, Stafford, VA 22554-7287 | 2017-10-16 |
| Find all providers in STAFFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.