MEDICARE: MIRRANDA FAITH FIGUEROA BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-23-69868	SC
2	103K00000X	Behavior Analyst	3728	NC

General Provider Information

NPI Number	:	1174021919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRRANDA FAITH FIGUEROA BCBA

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-0749
Country	:	US
Telephone Number	:	704-869-2088
Fax Number	:

Provider Business Practice Location Address
First Line	:	1404 S LAFAYETTE ST
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28152-6658
Country	:	US
Telephone Number	:	980-484-3390
Fax Number	:	980-842-0212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2018
Last Update Date	:	12/19/2025

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