Provider Demographics
NPI:1164755971
Name:CALHOUN, ANGELA A (DC, BCBA)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:A
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:DC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13530 LINDEN AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7524
Mailing Address - Country:US
Mailing Address - Phone:719-648-6672
Mailing Address - Fax:
Practice Address - Street 1:13530 LINDEN AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-7524
Practice Address - Country:US
Practice Address - Phone:719-648-6672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60107430111N00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst