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Individual

PAMELA SUE MOUSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
807 DONNELL BLVD STE Q, DALEVILLE, AL 36322-2111
(334) 464-0063
Mailing address
250 COUNTY ROAD 744, ENTERPRISE, AL 36330-6288
(334) 494-6035

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82684
AL
106S00000X
Behavior Technician
RBT-19-85306
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133086
AL
Enumeration date
07/23/2021
Last updated
09/24/2025
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