Healthcare Provider Details

I. General information

NPI: 1669307518
Provider Name (Legal Business Name): DANIELLE DULONG BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 BILLERICA RD STE 1
CHELMSFORD MA
01824-3632
US

IV. Provider business mailing address

16 HILLTOP PKWY
WOBURN MA
01801-3628
US

V. Phone/Fax

Practice location:
  • Phone: 877-222-0399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA10001635
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: