MEDICARE: KARSEN MUMM

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	106S00000X	Behavior Technician		AL

General Provider Information

NPI Number	:	1528917341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARSEN MUMM

Provider Business Mailing Address
First Line	:	510 MEADOR DR
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35401-2064
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 20TH ST S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-2612
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ KARSEN MUMM ” Practice Location

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