Provider Demographics
NPI:1053827154
Name:ARCHER, ANGEL (BCBA)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:ARCHER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8074 SOUTH TRINCHERA PEAK
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5035
Mailing Address - Country:US
Mailing Address - Phone:303-908-9097
Mailing Address - Fax:303-554-5657
Practice Address - Street 1:8074 SOUTH TRINCHERA PEAK
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5035
Practice Address - Country:US
Practice Address - Phone:303-908-9097
Practice Address - Fax:303-554-5657
Is Sole Proprietor?:No
Enumeration Date:2017-12-27
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
CO1-18-30413103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst