Healthcare Provider Details

I. General information

NPI: 1649160318
Provider Name (Legal Business Name): DANIEL ROBERT CAYEM PH.D. BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2025
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 CATHERINE PARK DR
GLENDORA CA
91741-3019
US

IV. Provider business mailing address

346 CATHERINE PARK DR
GLENDORA CA
91741-3019
US

V. Phone/Fax

Practice location:
  • Phone: 626-222-9947
  • Fax:
Mailing address:
  • Phone: 626-222-9947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY34097
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-12-10168
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: