Provider Demographics
NPI:1679993422
Name:HESS, ANGELA BETH (BCBA-D, LBA)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:BETH
Last Name:HESS
Suffix:
Gender:F
Credentials:BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6504 MOUNTAINDALE RD
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788-2719
Mailing Address - Country:US
Mailing Address - Phone:301-524-8203
Mailing Address - Fax:
Practice Address - Street 1:6504 MOUNTAINDALE RD
Practice Address - Street 2:
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788-2719
Practice Address - Country:US
Practice Address - Phone:443-243-7647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-20
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No251S00000XAgenciesCommunity/Behavioral Health