Provider Demographics
NPI:1417678368
Name:HUNT, ANGELA N (BCBA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:N
Last Name:HUNT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:N
Other - Last Name:EKLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:76 BRUSHY PLAIN RD
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-6004
Mailing Address - Country:US
Mailing Address - Phone:203-390-1908
Mailing Address - Fax:
Practice Address - Street 1:76 BRUSHY PLAIN RD
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-6004
Practice Address - Country:US
Practice Address - Phone:203-390-1908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1514103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst