Provider Demographics
NPI:1386220861
Name:TERRELL, KIARA (BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:KIARA
Middle Name:
Last Name:TERRELL
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 CANVASBACK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-5602
Mailing Address - Country:US
Mailing Address - Phone:832-760-8986
Mailing Address - Fax:
Practice Address - Street 1:18726 UNIVERSITY BLVD BLDG J
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4346
Practice Address - Country:US
Practice Address - Phone:713-574-7525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
TX7914103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician