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NPI Code Detail

MEDICARE: ELIZABETH MOXLEY BCBA

MEDICARE:   ELIZABETH  MOXLEY  BCBA
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 Analyst1-11-8551NC

General Provider Information

NPI Number : 1295074607
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MOXLEY BCBA
Provider Business Mailing Address
First Line : 1116 20TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-2612
Country : US
Telephone Number : 855-675-9100
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 1116 20TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-2612
Country : US
Telephone Number : 855-675-9100
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2013
Last Update Date : 09/04/2025

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Directions to “ ELIZABETH MOXLEY BCBA” Practice Location

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