Most Relevant Information
Provider Data
| NPI Number: | 1003476912 |
| Provider Name: | KIARA SPARROW |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2019 |
| Last Updated: | 06/13/2019 |
Provider Practice Location
91 N SAGINAW ST STE 101
PONTIAC
MI
483422165
Practice Location Phone/Fax
| Phone: | 2482542616 |
| Fax: |
Provider Mailing Location
91 N SAGINAW ST STE 101
PONTIAC
MI
483422165
Provider Mailing Phone/Fax
| Phone: | 2482542616 |
| Fax: |