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General NPI Number Information
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NPI Number | 1336927730
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Entity Type | Individual
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Provider Name | MISTY RIGGS BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 19741 PRINCE BENJAMIN DR
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City | LUTZ
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State | FL
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Zip | 33549-5018
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Country | US
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Telephone | 813-444-7627
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N # 30055
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 813-444-7627
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7401003094
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License Number State | MI
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