Healthcare Provider Details

I. General information

NPI: 1427984525
Provider Name (Legal Business Name): ANGELA CHAMBERS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 SW CLIPPER LN
LEES SUMMIT MO
64082-4718
US

IV. Provider business mailing address

4045 SW CLIPPER LN
LEES SUMMIT MO
64082-4718
US

V. Phone/Fax

Practice location:
  • Phone: 314-608-0223
  • Fax:
Mailing address:
  • Phone: 314-608-0223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2026007978
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: