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General NPI Number Information
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NPI Number | 1760130306
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Entity Type | Individual
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Provider Name | CARRINGTON MOSLEY BCBA
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Gender | Male
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 3111 26TH ST W
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City | BRADENTON
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State | FL
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Zip | 34205-3741
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Country | US
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Telephone | 813-926-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 8237 VICELA DR
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City | SARASOTA
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State | FL
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Zip | 34240-1462
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Country | US
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Telephone |
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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 | 1-24-75548
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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