Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randall Harold Mahan Jr.

Individual provider Behavior Technician · NPI 1033983689

Randall Harold Mahan Jr. is a Behavior Technician in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

10926 S Tryon St Ste E
Charlotte, NC 28273-4154
Phone: (855) 201-5498
Fax: (888) 849-4249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Technician Taxonomy 106S00000X (NC)

Record details

NPI number1033983689
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 14, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 13, 2023

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