Healthcare Provider Details

I. General information

NPI: 1952926784
Provider Name (Legal Business Name): STEPHANIE NICOLE HIGGINS M.A., BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710A JOHN PLATT DR
MOREHEAD CITY NC
28557-4372
US

IV. Provider business mailing address

1816 CHAMPION DR
MOREHEAD CITY NC
28557-4712
US

V. Phone/Fax

Practice location:
  • Phone: 862-222-0041
  • Fax:
Mailing address:
  • Phone: 862-222-0041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1705
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-41132
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: