Provider Demographics
NPI:1932667334
Name:MCSWEANEY, KIANII
Entity Type:Individual
Prefix:
First Name:KIANII
Middle Name:
Last Name:MCSWEANEY
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 1:4167 SOMERSET DR APT 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-3419
Mailing Address - Country:US
Mailing Address - Phone:323-818-8880
Mailing Address - Fax:
Practice Address - Street 1:4167 SOMERSET DR APT 1
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-3419
Practice Address - Country:US
Practice Address - Phone:323-818-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician