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ANGELA NICOLE MANGUM
NPI 1821598293
Behavior Analyst in O Fallon, IL

Active since February 13, 2018
634 N MAIN ST STE 4, O FALLON, IL 62269(618) 726-5870 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Nicole Mangum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA NICOLE MANGUM (NPI 1821598293) is an individual behavior analyst provider in O Fallon, Illinois, licensed in Illinois (M52501485731) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1821598293
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameANGELA NICOLE MANGUM
Location Address634 N MAIN ST STE 4O Fallon, IL 62269-3746
Mailing Address21600 Oxnard St # Are1800Woodland Hills, CA 91367-4976 · (818) 345-2345
Phone(618) 726-5870
Sole ProprietorNo
Enumeration DateFebruary 13, 2018
✔ NPI 1821598293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in IL · M52501485731
Definition
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.
634 N MAIN ST STE 4, O Fallon, IL 62269
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS HEATHER ANN WATERSON
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
St. Clair County (618) 726-0701
BRANDY L WAGNER
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
St. Clair County (618) 726-5870
DEANNA WEAVER
Behavior Analyst
634 N MAIN ST STE 4
O FALLON, IL 62269
St. Clair County (587) 061-8726
DEZMAURI TYLER
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
St. Clair County (618) 726-5870
JULIET MARIE WOOLDRIDGE
Behavior Analyst
634 N MAIN ST STE 4
O FALLON, IL 62269
St. Clair County (618) 726-0701
MYA DONAI THOMPSON
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
St. Clair County (618) 726-5870
SHRINIKETHAN BHARANIDHARAN
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
St. Clair County (618) 726-5870
EMILY CANGE
Behavior Technician
634 N MAIN ST STE 4
O FALLON, IL 62269
St. Clair County (618) 726-5870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Mangum's NPI number?

The NPI number for Angela Mangum is 1821598293. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Angela Mangum located?

Angela Mangum practices at 634 N Main St Ste 4, O Fallon, IL 62269. The listed phone number is (618) 726-5870.

What is Angela Mangum's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Angela Mangum was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.