Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255973343 Individual Practitioner Female Practitioner

Anna Angelo , BCBA

Behavior Analyst • Southfield, MI

Professional Overview & Biography Verified Profile Summary

Anna Angelo, BCBA is a registered healthcare professional specializing in Behavior Analyst in Southfield, MI. Practice services are available at 30503 GREENFIELD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30503 Greenfield Rd

Southfield, MI 480761594

Telephone 5863820933
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Southfield, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
45 Specialists

Practicing in Southfield, MI (3207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 1-26-90472

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1497760086 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Stephanie Wright , MS

Psychologist - Counseling

NPI 1003173063

Master of Science

Ravinder Sandhu

Psychiatry & Neurology - Psychiatry

NPI 1023435179
NPI 1043622889

Doctor of Psychology (Psy.D.)

Dr. Stefani Hines , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1073573861

Doctor of Medicine (M.D.)

Jessica Martin , MSW, LMSW

Social Worker - Clinical

NPI 1174186159

Master of Social Work, Licensed Master Social Worker

Dr. Amelia Amin , PhD, LP

Psychologist - Clinical

NPI 1215549233

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 16, 2026

Registered at 30503 GREENFIELD RD, SOUTHFIELD, MI 480761594 (Tel: 5863820933)

📍
Updated Business Mailing Address June 16, 2026

Registered at 3157 EVERGREEN DR, ROYAL OAK, MI 480733234 (Tel: 5863820933)

👤
Provider Name / Credentials Updated June 16, 2026

Recorded as ANNA ANGELO, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2026

Behavior Analyst (License #1-26-90472 in MI)

📍
Updated Practice Location September 06, 2022

Registered at 120 STEVENS ST SW, GRAND RAPIDS, MI 495071526 (Tel: 5863820933)

📍
Updated Business Mailing Address September 06, 2022

Registered at 4575 SE DIXIE HWY, STUART, FL 349976826 (Tel: 5863820933)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2022

Behavior Technician (License #RBT-20-134918 in MI)

NPI Profile Active October 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2019

Registered at 28000 WOODWARD AVE STE 100, ROYAL OAK, MI 480670961 (Tel: 2487625590)

📍
Updated Business Mailing Address October 10, 2019

Registered at 28000 WOODWARD AVE STE 100, ROYAL OAK, MI 480670961 (Tel: 2487625590)

👤
Provider Name / Credentials Updated October 10, 2019

Recorded as ANNA ANGELO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Behavior Analyst

🟢
Initial NPI Registration & Enumeration October 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255973343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2019
Last Update: June 16, 2026
Sole Proprietor: No

Mailing Address

3157 Evergreen Dr

Royal Oak, MI 480733234

Phone: 5863820933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.