Healthcare Provider Details

I. General information

NPI: 1902741291
Provider Name (Legal Business Name): KIARA GOPIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7860 GOLDEN PINE CIR
SEVERN MD
21144-1036
US

IV. Provider business mailing address

7860 GOLDEN PINE CIR
SEVERN MD
21144-1036
US

V. Phone/Fax

Practice location:
  • Phone: 667-379-0131
  • Fax:
Mailing address:
  • Phone: 667-379-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: