Mozingo, Emily R

Mozingo, Emily R is an individual health care provider with primary practice located at 2500 Pocoshock Pl Ste 102 , North Chesterfield VA 23235-6345. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mozingo, Emily R can be contacted via phone (804) 562-8705.

Contact Information

Primary practice address
2500 Pocoshock Pl Ste 102 North Chesterfield VA 23235-6345
Phone: (804) 562-8705
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Virginia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133003386 Virginia

Profile Details

NPI number 1912540048
LBN Legal business name Mozingo, Emily R
Credentials MA, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2019
Last updated Dec 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912540048 NPPES
Massachusetts MEDICAID 110026265E

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