Healthcare Provider Details

I. General information

NPI: 1255264495
Provider Name (Legal Business Name): CAYLA LIZA BROWN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 CHRISTIAN CREEK PL
CARY NC
27519-6547
US

IV. Provider business mailing address

416 CHRISTIAN CREEK PL
CARY NC
27519-6547
US

V. Phone/Fax

Practice location:
  • Phone: 984-383-2216
  • Fax:
Mailing address:
  • Phone: 984-383-2216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: