Wanta, Angela Catherine
Wanta, Angela Catherine is an individual health care provider with primary practice located at 14733 Clayton Rd , Ballwin MO 63011-2660. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wanta, Angela Catherine can be contacted via phone (314) 339-7732.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 2019003272 | Missouri |
Profile Details
| NPI number | 1932666211 |
|---|---|
| LBN Legal business name | Wanta, Angela Catherine |
| Credentials | LMSW, MED, BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2019 |
| Last updated | Feb 22nd, 2019 - about 7 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932666211 | NPPES |
| Missouri | Other | 2019003272 | BCBA STATE LICENSURE |
| Missouri | Other | 1-18-32979 | BCBA STATE LICENSURE |
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