Healthcare Provider Details

I. General information

NPI: 1982351797
Provider Name (Legal Business Name): DANAESIA AJAE NEQCOLE BRANCH-VENTURA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4613 DRUMMOND BLVD SE APT 201
KENTWOOD MI
49508-5123
US

IV. Provider business mailing address

4613 DRUMMOND BLVD SE APT 201
KENTWOOD MI
49508-5123
US

V. Phone/Fax

Practice location:
  • Phone: 832-740-3634
  • Fax:
Mailing address:
  • Phone: 832-740-3634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: