Individual provider · NPI-1
Phaedra Anglin, BCBA
Behavior Analyst · Katy, TX
NPI number1215325972
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1215325972
- Entity type
- Individual (NPI-1)
- Name
- Phaedra Anglin
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2015
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 2858 | TX | Yes |
Other names
- Phaedra Sargent (Former Name)
Practice location
3760 S Mason Rd Ste 10Katy, TX 77450-7729
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
Po Box 740780Atlanta, GA 30374-0780
Phone 855-223-7123 · Fax 619-374-7134
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