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NPI Code Detail

MEDICARE: DANIELLE DIGNAN MA, LBA, BCBA

MEDICARE:   DANIELLE  DIGNAN  MA, LBA, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1336767060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE DIGNAN MA, LBA, BCBA
Provider Business Mailing Address
First Line : 1441 E DOWNING ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-3218
Country : US
Telephone Number : 317-750-7874
Fax Number : 855-910-0828
Provider Business Practice Location Address
First Line : 1441 E DOWNING ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-3218
Country : US
Telephone Number : 317-750-7874
Fax Number : 855-910-0828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2020
Last Update Date : 06/02/2026

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