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NPI 1174021919

NPI 1174021919 : MIRRANDA FAITH FIGUEROA BCBA : SHELBY, NC

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General NPI Number Information
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    NPI Number           |    1174021919
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    Entity Type          |    Individual 
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    Provider Name        |    MIRRANDA FAITH FIGUEROA BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/26/2018
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    Last Update Date     |    12/19/2025
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Provider Practice Location Address
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    Address Line         |    1404 S LAFAYETTE ST 
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    City                 |    SHELBY
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    State                |    NC
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    Zip                  |    28152-6658
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    Country              |    US
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    Telephone            |    980-484-3390
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    Fax                  |    980-842-0212
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Provider Business Mailing Address
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    Address Line         |    PO BOX 749 
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    City                 |    BELMONT
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    State                |    NC
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    Zip                  |    28012-0749
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    Country              |    US
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    Telephone            |    704-869-2088
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-23-69868
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    3728
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    License Number State |    NC
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