Most Relevant Information
Provider Data
| NPI Number: | 1003496621 |
| Provider Name: | SIERRA SPAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/08/2021 |
| Last Updated: | 04/08/2021 |
Provider Practice Location
3000 LATROBE DR STE B
CHARLOTTE
NC
282115227
Practice Location Phone/Fax
| Phone: | 7047804271 |
| Fax: | 8882616694 |
Provider Mailing Location
1012 BURTON POINT CT
WAXHAW
NC
281730299
Provider Mailing Phone/Fax
| Phone: | 7162016006 |
| Fax: |