Provider Demographics
NPI:1124900543
Name:LINDGREN, ANGELA MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:LINDGREN
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 1:15 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-8555
Mailing Address - Country:US
Mailing Address - Phone:973-229-4466
Mailing Address - Fax:
Practice Address - Street 1:112 HEMLOCK LN
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-9105
Practice Address - Country:US
Practice Address - Phone:973-229-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst