MEDICARE: MS. DARIA ANNA WARGO BCABA

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
1	106E00000X	Assistant Behavior Analyst	A1731	NC

General Provider Information

NPI Number	:	1205616042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DARIA ANNA WARGO BCABA

Provider Business Mailing Address
First Line	:	2830 16TH ST NE APT 200
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-8629
Country	:	US
Telephone Number	:	203-638-4178
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 STONY HILL RD LOWR LEVEL
Second Line	:
City	:	BETHEL
State	:	CT
Zip	:	06801-1166
Country	:	US
Telephone Number	:	860-946-0362
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	08/16/2025

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