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Mahogany Bethea

Behavior Technician in Raleigh, NC. Individual provider (NPI-1).

NPI number1962298679
StatusActive
Last updated in NPPESApr 17, 2025

Details

NPI
1962298679
Entity type
Individual (NPI-1)
Name
Mahogany Bethea
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2025
Certification date
Apr 17, 2025
Last updated
Apr 17, 2025

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

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000

Phone 888-880-9270

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Phone 877-418-2978 · Fax 866-500-2186

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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