Fellenz, Angela

Fellenz, Angela is an individual health care provider with primary practice located at 371 E 1St St , Fond Du Lac WI 54935-4563. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fellenz, Angela can be contacted via phone (920) 907-3967.

Contact Information

Primary practice address
371 E 1St St Fond Du Lac WI 54935-4563
Phone: (920) 907-3967
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-20-11369 Wisconsin
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1138-140 Wisconsin
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1730796046
LBN Legal business name Fellenz, Angela
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2020
Last updated Sep 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730796046 NPPES
Wisconsin Other 0-20-11369 BACB CERTIFICATION #
Wisconsin Other 1-23-67656 BACB CERTIFICATION #
Wisconsin Other 1138-140 BACB CERTIFICATION #

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