Mr Vernon Archie Wiggins Iii, BCBA is a
Behavior Analyst based in Lumberton, Texas. Mr Vernon Archie Wiggins Iii is licensed to practice in Colorado (license number 1-14-17593) and his current practice location is
242 S Lhs Dr, Lumberton, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 323-3153.
NPI number for Mr Vernon Archie Wiggins Iii is 1629505573 and his current mailing address is 242 S Lhs Dr, Lumberton, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629505573.
Healthcare Provider's Profile
| Full Name | Mr Vernon Archie Wiggins Iii |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 242 S Lhs Dr, Lumberton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629505573
- Provider Enumeration Date: 05/22/2017
- Last Update Date: 07/31/2019
Medical Identifiers
Medical identifiers for Mr Vernon Archie Wiggins Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629505573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 79828 (Texas) | Secondary |
| 103K00000X | Behavior Analyst | 1479 (Texas) | Secondary |
| 225700000X | Massage Therapist | MT034888 (Texas) | Secondary |
| 103K00000X | Behavior Analyst | 1-14-17593 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Vernon Archie Wiggins Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Vernon Archie Wiggins Iii, BCBA
242 S Lhs Dr,
Lumberton, TX 77657-8603
Ph: (210) 323-3153 | Mr Vernon Archie Wiggins Iii, BCBA
242 S Lhs Dr,
Lumberton, TX 77657-8603
Ph: (210) 323-3153 |
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