MEDICARE: DEVIN PATRICK LONG 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	1-13-14242
2	103K00000X	Behavior Analyst	2038	NC

General Provider Information

NPI Number	:	1164195517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVIN PATRICK LONG BCBA

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-0749
Country	:	US
Telephone Number	:	704-869-2088
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 N CHURCH ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-5401
Country	:	US
Telephone Number	:	252-270-1001
Fax Number	:	252-270-1002

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

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	09/18/2024

Similar Medicare Providers

1528910411 — CIERRA JOYNER
Practice Location Address:

134 N CHURCH ST
ROCKY MOUNT, NC
27804-5401

Practice Phone: 252-270-1001
Practice Fax:

1164929931 — ADETOLA ABIOLA BONE BS
Practice Location Address:

134 N CHURCH ST
ROCKY MOUNT, NC
27804-5401

Practice Phone: 252-270-1001
Practice Fax: 252-270-1002

1700611241 — TERRI LAMM HUDKINS
Practice Location Address:

134 N CHURCH ST
ROCKY MOUNT, NC
27804-5401

Practice Phone: 252-270-1001
Practice Fax: 252-270-1002

1508664152 — CHRISTIE MCNAIR
Practice Location Address:

134 N CHURCH ST
ROCKY MOUNT, NC
27804-5401

Practice Phone: 252-270-1001
Practice Fax:

1063509875 — CHARLENE APPLESON MD
Practice Location Address:

1715 W ALGONQUIN RD
MOUNT PROSPECT, IL
60056-5401

Practice Phone: 847-725-8110
Practice Fax: 847-725-8115

1578796843 — ACCESS COMMUNITY HEALTH NETWORK
Practice Location Address:

1715 W ALGONQUIN RD
MOUNT PROSPECT, IL
60056-5401

Practice Phone: 773-257-6770
Practice Fax:

Directions to “ DEVIN PATRICK LONG BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.