Healthcare Provider Details

I. General information

NPI: 1720440167
Provider Name (Legal Business Name): HEATHER MOSIER LPA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 531
ROCKY POINT NC
28457-0531
US

IV. Provider business mailing address

PO BOX 531
ROCKY POINT NC
28457-0531
US

V. Phone/Fax

Practice location:
  • Phone: 910-599-0955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5369
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1096408
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number5783
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: