Provider Demographics
NPI:1801680863
Name:GRANT, AYANA CIERRA
Entity type:Individual
Prefix:
First Name:AYANA
Middle Name:CIERRA
Last Name:GRANT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 8TH STREET DR NE APT 204
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2781
Mailing Address - Country:US
Mailing Address - Phone:704-648-4053
Mailing Address - Fax:704-648-4053
Practice Address - Street 1:1730 8TH STREET DR NE APT 204
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2781
Practice Address - Country:US
Practice Address - Phone:704-648-4053
Practice Address - Fax:704-648-4053
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician