Healthcare Provider Details

I. General information

NPI: 1972141349
Provider Name (Legal Business Name): ANGILA CUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 W PALMERAS DR STE 200
SUN CITY AZ
85373-2071
US

IV. Provider business mailing address

10451 W PALMERAS DR STE 200
SUN CITY AZ
85373-2071
US

V. Phone/Fax

Practice location:
  • Phone: 303-989-8169
  • Fax:
Mailing address:
  • Phone: 913-563-8152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA00853
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: