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NPI Code Detail

MEDICARE: NICHOLAS MICHAEL HEATH MA, BCBA, LBA

MEDICARE:   NICHOLAS MICHAEL HEATH  MA, BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-19-37759UT
2106E00000XAssistant Behavior Analyst11230040-2507UT
3106S00000XBehavior Technician
4103K00000XBehavior Analyst11471260-2506UT
5103K00000XBehavior Analyst143NC

General Provider Information

NPI Number : 1952800229
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS MICHAEL HEATH MA, BCBA, LBA
Provider Business Mailing Address
First Line : PO BOX 749
Second Line :
City : BELMONT
State : NC
Zip : 28012-0749
Country : US
Telephone Number : 704-869-2088
Fax Number :
Provider Business Practice Location Address
First Line : 1114 EASTCHESTER DR
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-3114
Country : US
Telephone Number : 336-802-1007
Fax Number : 336-888-3585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2018
Last Update Date : 05/08/2026

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Directions to “ NICHOLAS MICHAEL HEATH MA, BCBA, LBA” Practice Location

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