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General NPI Number Information
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NPI Number | 1588237804
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Entity Type | Individual
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Provider Name | PAMELA SUE MOUSER BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 807 DONNELL BLVD STE Q
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City | DALEVILLE
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State | AL
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Zip | 36322-2111
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Country | US
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Telephone | 334-464-0063
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Fax |
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Provider Business Mailing Address
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Address Line | 250 COUNTY ROAD 744
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City | ENTERPRISE
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State | AL
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Zip | 36330-6288
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Country | US
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Telephone | 334-494-6035
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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 | RBT-19-85306
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-82684
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License Number State | AL
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