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NPI Code Detail

MEDICARE: DANIELLE ELIZABETH BALLARD

MEDICARE: DANIELLE ELIZABETH BALLARD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1942002548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ELIZABETH BALLARD
Provider Business Mailing Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-222-3946
Fax Number :
Provider Business Practice Location Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-222-3946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2025
Last Update Date : 05/15/2026

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Directions to “ DANIELLE ELIZABETH BALLARD ” Practice Location

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