MEDICARE: MRS. STEPHANIE NICOLE HIGGINS M.A., BCBA, LBA

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	1705	NC
2	103K00000X	Behavior Analyst	1-20-41132	NJ

General Provider Information

NPI Number	:	1952926784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE NICOLE HIGGINS M.A., BCBA, LBA

Provider Business Mailing Address
First Line	:	1816 CHAMPION DR
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4712
Country	:	US
Telephone Number	:	862-222-0041
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710A JOHN PLATT DR
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4372
Country	:	US
Telephone Number	:	862-222-0041
Fax Number	:

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

Provider Enumeration Date	:	06/08/2020
Last Update Date	:	12/04/2025

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