Healthcare Provider Details

I. General information

NPI: 1750997169
Provider Name (Legal Business Name): KAYLEY DANIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 N ROXBORO ST STE 150
DURHAM NC
27704-2592
US

IV. Provider business mailing address

4020 N ROXBORO ST STE 150
DURHAM NC
27704-2592
US

V. Phone/Fax

Practice location:
  • Phone: 919-739-2489
  • Fax:
Mailing address:
  • Phone: 919-739-2489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: