Healthcare Provider Details

I. General information

NPI: 1174021919
Provider Name (Legal Business Name): MIRRANDA FAITH FIGUEROA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 S LAFAYETTE ST
SHELBY NC
28152-6658
US

IV. Provider business mailing address

PO BOX 749
BELMONT NC
28012-0749
US

V. Phone/Fax

Practice location:
  • Phone: 980-484-3390
  • Fax: 980-842-0212
Mailing address:
  • Phone: 704-869-2088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-69868
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number3728
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: