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Doucelvie Mizingou

Behavior Technician in Silver Spring, MD. Individual provider (NPI-1).

NPI number1194507582
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1194507582
Entity type
Individual (NPI-1)
Name
Doucelvie Mizingou
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2023
Certification date
Oct 24, 2023
Last updated
Oct 24, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

11921 Bournefield Way Ste A
Silver Spring, MD 20904-7815

Phone 888-726-4774

Mailing address

9 Banks Ave
McAdoo, PA 18237-2508

Phone 570-931-3850

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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