Healthcare Provider Details

I. General information

NPI: 1861908758
Provider Name (Legal Business Name): DANESHIA SANDLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2017
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29471 VINES CREEK RD
DAGSBORO DE
19939-3850
US

IV. Provider business mailing address

29471 VINES CREEK RD
DAGSBORO DE
19939-3850
US

V. Phone/Fax

Practice location:
  • Phone: 302-321-5208
  • Fax:
Mailing address:
  • Phone: 302-321-5208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: