Healthcare Provider Details

I. General information

NPI: 1477466266
Provider Name (Legal Business Name): KAYDEN MCNEILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 W INNES ST
SALISBURY NC
28144-4278
US

IV. Provider business mailing address

9421 VILLAGE VIEW CT NW
CONCORD NC
28027-0336
US

V. Phone/Fax

Practice location:
  • Phone: 615-650-6622
  • Fax:
Mailing address:
  • Phone: 980-331-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-325824
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: