Provider Demographics
NPI:1851844344
Name:MORAN, ANGELA (BCBA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:MORAN
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 1:3300 PRYTANIA ST
Mailing Address - Street 2:APT 3
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3524
Mailing Address - Country:US
Mailing Address - Phone:804-356-5221
Mailing Address - Fax:
Practice Address - Street 1:3300 PRYTANIA ST
Practice Address - Street 2:APT 3
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3524
Practice Address - Country:US
Practice Address - Phone:804-356-5221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst