Provider Demographics
NPI:1780360925
Name:ATONSA, ANGELA (MS ABA, MS LAW)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:ATONSA
Suffix:
Gender:F
Credentials:MS ABA, MS LAW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BROWN LN
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-7324
Mailing Address - Country:US
Mailing Address - Phone:931-205-0464
Mailing Address - Fax:
Practice Address - Street 1:111 BROWN LN
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-7324
Practice Address - Country:US
Practice Address - Phone:931-205-0464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health