Most Relevant Information
Provider Data
| NPI Number: | 1003224353 |
| Provider Name: | ANGELA C. OUTEN BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-20-42519 |
Most Important Dates
| Enumeration Date: | 07/31/2014 |
| Last Updated: | 08/06/2021 |
Provider Practice Location
1698 HIGHWAY 160 W STE 240
FORT MILL
SC
297088035
Practice Location Phone/Fax
| Phone: | 7046548599 |
| Fax: |
Provider Mailing Location
181 W PROFESSIONAL PARK CT STE 1
BOWLING GREEN
KY
421043250
Provider Mailing Phone/Fax
| Phone: | 2707779283 |
| Fax: | 2707779283 |