Individual
EMILY R MOZINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
2500 POCOSHOCK PL STE 102, NORTH CHESTERFIELD, VA 23235-6345
(804) 562-8705
Mailing address
4313 TRACKER DR, CHESTERFIELD, VA 23832-7915
(804) 436-4161
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003386
VA
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
10/22/2019
Last updated
12/22/2023
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