MEDICARE: KIEARA MIJA PEERY

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	106S00000X	Behavior Technician	RBT-26-527079	NV

General Provider Information

NPI Number	:	1043143928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIEARA MIJA PEERY

Provider Business Mailing Address
First Line	:	1199 PARADISE BASIN CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89002-3462
Country	:	US
Telephone Number	:	725-400-8230
Fax Number	:

Provider Business Practice Location Address
First Line	:	9503 VIOLET SUNSET AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4246
Country	:	US
Telephone Number	:	725-400-8230
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ KIEARA MIJA PEERY ” Practice Location

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