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NPI Code Detail

MEDICARE: KASHA HARGROVE

MEDICARE: KASHA HARGROVE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1518650381
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASHA HARGROVE
Provider Business Mailing Address
First Line : 1946 BROOKSTONE WAY APT 303
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2684
Country : US
Telephone Number : 704-877-7665
Fax Number :
Provider Business Practice Location Address
First Line : 335 ARCHDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-4212
Country : US
Telephone Number : 888-392-8642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 01/09/2024

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Directions to “ KASHA HARGROVE ” Practice Location

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