ANGELA L KEPPOL (NPI# 1285274746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285274746 |
| Entity Type | Individual |
| Full Name | ANGELA L KEPPOL |
| Credential | RBT |
| Practice Address |
5601 Coventry Lane Fort Wayne IN 46804 |
| Mailing Address |
7027 Strawberry Dr Fort Wayne IN 46825-3651 |
| Practice Telephone | 2604596040 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427595461 | Angela Keppol | Behavioral Analyst | 3708 Conway Rd, Orlando, FL 32812-7608 | 2017-01-29 |
| Street Address |
5601 COVENTRY LANE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427503242 | Nicole Altherr | Speech-Language Pathologist | 5601 Coventry Lane, Fort Wayne, IN 46804-5435 | 2016-08-22 |
| 1942833801 | Lauren Juliette Schabel | Behavioral Analyst | 5601 Coventry Lane, Fort Wayne, IN 46804 | 2020-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821629007 | Jennifer Lyn Jefferies | Behavior Technician | 4422 East 21st Street West Bldg., Fort Wayne, IN 46815-6917 | 2020-01-28 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1013573427 | Danielle N Degitz | Behavior Technician | 6131 N Clinton St, Fort Wayne, IN 46825-4905 | 2019-05-13 |
| 1073013280 | Meghan Burns | Behavior Technician | 5750 Falls Dr Ste 102, Fort Wayne, IN 46804-7147 | 2018-02-14 |
| 1194322263 | Courtney Elizabeth Selvia | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1144827163 | Megan Leigh Torrijos | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1205433224 | Deborah Baker Graham | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1275130353 | Brittany Nicole Bowers | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1134726367 | Grace Esther Barge | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-01 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on ANGELA L KEPPOL.
| 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.