Basic Information
| Provider Information | |||||||||
| NPI: | 1710442231 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HIGGERSON | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7500 SAN FELIPE ST STE 900 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770631798 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8327420001 | ||||||||
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| Practice Location | |||||||||
| Address1: | 107 RR 620 S STE 300 | ||||||||
| Address2: | |||||||||
| City: | LAKEWAY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787343900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5127174788 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2019 | ||||||||
| LastUpdateDate: | 05/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | N | 103K00000X | 4094 | TX | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.