MEDICARE: DALYN KIERRA HODGES

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

General Provider Information

NPI Number	:	1912713405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALYN KIERRA HODGES

Provider Business Mailing Address
First Line	:	3416 ALDWYCH WAY
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-5824
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3820 RANDOLPH HEIGHTS DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-7566
Country	:	US
Telephone Number	:	980-819-0010
Fax Number	:

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

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	12/09/2024

Similar Medicare Providers

1285580480 — KIYA JAMISON
Practice Location Address:

3820 RANDOLPH HEIGHTS DR STE 100
CHARLOTTE, NC
28205-7566

Practice Phone: 980-819-0010
Practice Fax:

1013925486 — DR. CARLOS B JORGE MD
Practice Location Address:

3820 RANDOLPH HEIGHTS DR STE 150
CHARLOTTE, NC
28205-7566

Practice Phone: 704-360-5018
Practice Fax: 980-273-1102

1043509458 — STEPHANIE CLEMENS MA, BCBA
Practice Location Address:

3820 RANDOLPH HEIGHTS DR
CHARLOTTE, NC
28205-7566

Practice Phone: 201-889-6299
Practice Fax:

1932664018 — ERICA MAZUR M.ED., BCBA
Practice Location Address:

3820 RANDOLPH HEIGHTS DR STE 100
CHARLOTTE, NC
28205-7566

Practice Phone: 980-819-0010
Practice Fax:

1235815481 — ALEXIS PINIEWSKI
Practice Location Address:

3820 RANDOLPH HEIGHTS DR
CHARLOTTE, NC
28205-7566

Practice Phone: 716-997-4495
Practice Fax:

1922822584 — JASMINE ABRAHAM
Practice Location Address:

3820 RANDOLPH HEIGHTS DR
CHARLOTTE, NC
28205-7566

Practice Phone: 980-819-0010
Practice Fax:

Directions to “ DALYN KIERRA HODGES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.