MEDICARE: DR. ANGELIQUE AMBER HOWARD PSYD, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-82986	CA
2	106H00000X	Marriage & Family Therapist
3	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1548301781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELIQUE AMBER HOWARD PSYD, BCBA

Provider Business Mailing Address
First Line	:	1720 W BALL RD STE 17A
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-5500
Country	:	US
Telephone Number	:	714-257-5534
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 W BALL RD STE 17A
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-5500
Country	:	US
Telephone Number	:	714-257-5534
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	09/30/2025

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