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NPI Code Detail

MEDICARE: TIERA JAMES

MEDICARE: TIERA JAMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1104770080
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIERA JAMES
Provider Business Mailing Address
First Line : 4000 SANCAR WAY STE 410
Second Line :
City : DURHAM
State : NC
Zip : 27713-2891
Country : US
Telephone Number : 919-371-2848
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SANCAR WAY STE 410
Second Line :
City : DURHAM
State : NC
Zip : 27713-2891
Country : US
Telephone Number : 919-371-2848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 03/24/2026

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Directions to “ TIERA JAMES ” Practice Location

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