Healthcare Provider Details

I. General information

NPI: 1588171854
Provider Name (Legal Business Name): JOSLYNN NYREE BIGELOW BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 MYRTLE ST
BELMONT NC
28012-5200
US

IV. Provider business mailing address

PO BOX 749
BELMONT NC
28012-0749
US

V. Phone/Fax

Practice location:
  • Phone: 704-954-8959
  • Fax: 980-207-2773
Mailing address:
  • Phone: 704-869-2088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberTEMP127
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberABA-IN-12155671
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: