Provider Demographics
NPI:1225343908
Name:MOSSMAN, AARON (MS BCBA)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:MOSSMAN
Suffix:
Gender:M
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-6165
Mailing Address - Country:US
Mailing Address - Phone:321-271-4384
Mailing Address - Fax:
Practice Address - Street 1:508 E NORTH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-6165
Practice Address - Country:US
Practice Address - Phone:321-271-4384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11212275OtherBOARD CERTIFIED BEHAVIOR ANALYST