Healthcare Provider Details

I. General information

NPI: 1245953934
Provider Name (Legal Business Name): KIERA MCDANIEL BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 CEDAR CORNERS PL
PEACHTREE CORNERS GA
30092-2410
US

IV. Provider business mailing address

3632 CEDAR CORNERS PL
PEACHTREE CORNERS GA
30092-2410
US

V. Phone/Fax

Practice location:
  • Phone: 256-679-8171
  • Fax:
Mailing address:
  • Phone: 256-679-8171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA002758
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: