Provider Demographics
NPI:1730075300
Name:SHERROD, DAYSHIA B
Entity type:Individual
Prefix:
First Name:DAYSHIA
Middle Name:B
Last Name:SHERROD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40729 GASGLOW DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-1969
Mailing Address - Country:US
Mailing Address - Phone:313-682-2328
Mailing Address - Fax:
Practice Address - Street 1:40729 GASGLOW DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-1969
Practice Address - Country:US
Practice Address - Phone:313-682-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician