Healthcare Provider Details

I. General information

NPI: 1649187451
Provider Name (Legal Business Name): KIERSTEN SHARPE RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 OLD ROCKY RIDGE RD
VESTAVIA HILLS AL
35216-7235
US

IV. Provider business mailing address

2151 OLD ROCKY RIDGE RD
VESTAVIA HILLS AL
35216-7235
US

V. Phone/Fax

Practice location:
  • Phone: 317-520-4748
  • Fax: 888-498-5529
Mailing address:
  • Phone: 317-520-4748
  • Fax: 888-498-5529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-455660
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: