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NPI Code Detail

MEDICARE: MRS. ROSA STRONG BEHAVIOR ANALYST

MEDICARE: MRS. ROSA STRONG BEHAVIOR ANALYST
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
1103K00000XBehavior Analyst3110NC

General Provider Information

NPI Number : 1194485714
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSA STRONG BEHAVIOR ANALYST
Provider Business Mailing Address
First Line : 195 W ILLINOIS AVE
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-5808
Country : US
Telephone Number : 910-673-5437
Fax Number : 910-673-5438
Provider Business Practice Location Address
First Line : 1120 7 LAKES DR
Second Line :
City : WEST END
State : NC
Zip : 27376-9082
Country : US
Telephone Number : 910-673-5437
Fax Number : 910-673-5438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2021
Last Update Date : 04/02/2026

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