Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730796046 Individual Practitioner Female Practitioner

Angela Fellenz , BCBA

Behavior Analyst • Fond Du Lac, WI

Professional Overview & Biography Verified Profile Summary

Angela Fellenz, BCBA is a registered healthcare professional specializing in Behavior Analyst in Fond Du Lac, WI. Practice services are available at 371 E 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

371 E 1st St

Fond Du Lac, WI 549354563

Telephone 9209073967
Associated Practice Facility / Clinic
🏢 Agnesian Healthcare Inc Facility NPI 1760902191

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fond Du Lac, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Fond Du Lac, WI (861 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: 2023-09-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License WI 1138-140

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

State License WI 0-20-11369

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

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

Commercial Insurance / Payer ID Bacb Certification #
0-20-11369 (WI)
Commercial Insurance / Payer ID Behavior Analysis Certification Board
1-23-67656
Commercial Insurance / Payer ID State Of Wisconsin Direct Licensing Dept. Of Safety And Professional Services
1138-140 (WI)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Jessica Fischer , MS, LPC

Counselor - Professional

NPI 1053839407

Master of Science, Licensed Professional Counselor

Sonja Lemke , OTR

Occupational Therapist

NPI 1154848083

Occupational Therapist Registered

Mallory Engelhardt

Behavior Analyst

NPI 1467088005
Sarah Drake-Ricart , ATR, LPC

Counselor - Professional

NPI 1518192509

ATR, Licensed Professional Counselor

Conor Watson

Counselor - Professional

NPI 1528764206

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2023

Assistant Behavior Analyst (License #0-20-11369 in WI)

👤
Provider Name / Credentials Updated September 05, 2023

Recorded as ANGELA FELLENZ, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2023

Behavior Analyst

NPI Profile Active September 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2020

Registered at 371 E 1ST ST, FOND DU LAC, WI 549354563 (Tel: 9209073967)

📍
Updated Business Mailing Address September 30, 2020

Registered at W2427 SNOWBERRY DR, APPLETON, WI 549157484

👤
Provider Name / Credentials Updated September 30, 2020

Recorded as ANGELA FELLENZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Assistant Behavior Analyst (License #0-20-11369 in WI)

🟢
Initial NPI Registration & Enumeration September 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730796046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2020
Last Update: September 12, 2023
Sole Proprietor: No

Mailing Address

W2427 Snowberry Dr

Appleton, WI 549157484

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.