Healthcare Provider Details

I. General information

NPI: 1275209306
Provider Name (Legal Business Name): ARIANNA KANEN M.ED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

876A BREVARD RD
ASHEVILLE NC
28806-2206
US

IV. Provider business mailing address

134 INFIELD CT
MOORESVILLE NC
28117-8026
US

V. Phone/Fax

Practice location:
  • Phone: 704-799-6824
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7929
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number4733
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: