Healthcare Provider Details

I. General information

NPI: 1033750351
Provider Name (Legal Business Name): SIERRA DAWN HARRINGTON BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 NORTHSIDE XING STE A
MACON GA
31210-2377
US

IV. Provider business mailing address

205 RANDY CIR
WARNER ROBINS GA
31088-5913
US

V. Phone/Fax

Practice location:
  • Phone: 321-299-9415
  • Fax:
Mailing address:
  • Phone: 580-447-1592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-37786
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: