Provider Demographics
NPI:1891432977
Name:POND, KIARA MARIE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:KIARA
Middle Name:MARIE
Last Name:POND
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:KIARA
Other - Middle Name:MARIE
Other - Last Name:PERRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:956 W CHATHAM ST
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3169
Mailing Address - Country:US
Mailing Address - Phone:919-642-4471
Mailing Address - Fax:
Practice Address - Street 1:956 W CHATHAM ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3169
Practice Address - Country:US
Practice Address - Phone:919-642-4471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1-18-32099103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst