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General NPI Number Information
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NPI Number | 1053288977
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Entity Type | Individual
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Provider Name | BRIANNA SHANIA LITTLE
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 280 PINEHURST AVE
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-6350
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Country | US
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Telephone | 704-440-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 122 NELSON RD
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City | ROCKINGHAM
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State | NC
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Zip | 28379-9104
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Country | US
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Telephone | 910-434-6953
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 000043935877
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License Number State | NC
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