Provider Demographics
NPI:1104201177
Name:HELSETH, ANGELA R (BCBA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:HELSETH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:R
Other - Last Name:RITTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1690 BELTLINE RD SW STE B
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5505
Mailing Address - Country:US
Mailing Address - Phone:772-216-1313
Mailing Address - Fax:
Practice Address - Street 1:1690 BELTLINE RD SW STE B
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5505
Practice Address - Country:US
Practice Address - Phone:256-686-3169
Practice Address - Fax:800-607-1947
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2021-014103K00000X
FL1-17-27625103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10263929Medicaid
AL263929Medicaid
FL018469100Medicaid