Provider Demographics
NPI:1548301781
Name:HOWARD, ANGELIQUE AMBER (PSYD, BCBA)
Entity type:Individual
Prefix:DR
First Name:ANGELIQUE
Middle Name:AMBER
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PSYD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 W BALL RD STE 17A
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-5500
Mailing Address - Country:US
Mailing Address - Phone:714-257-5534
Mailing Address - Fax:
Practice Address - Street 1:1720 W BALL RD STE 17A
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-5500
Practice Address - Country:US
Practice Address - Phone:714-257-5534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-25-82986103K00000X
106H00000X, 106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist