Provider Demographics
NPI:1568159598
Name:HIGGINS, RENATE SONJA (RBT)
Entity Type:Individual
Prefix:
First Name:RENATE
Middle Name:SONJA
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3619 ELMER KING RD
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-7942
Mailing Address - Country:US
Mailing Address - Phone:254-541-6618
Mailing Address - Fax:
Practice Address - Street 1:703 W FM 2410 RD
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1607
Practice Address - Country:US
Practice Address - Phone:254-716-8743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-22-247196106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician