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NPI Code Detail

MEDICARE: JOSLYNN NYREE BIGELOW BCBA

MEDICARE: JOSLYNN NYREE BIGELOW 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
1103K00000XBehavior AnalystTEMP127NC
2103K00000XBehavior AnalystABA-IN-12155671OR

General Provider Information

NPI Number : 1588171854
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSLYNN NYREE BIGELOW 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 : 54 MYRTLE ST
Second Line :
City : BELMONT
State : NC
Zip : 28012-5200
Country : US
Telephone Number : 704-954-8959
Fax Number : 980-207-2773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 02/03/2026

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