Healthcare Provider Details

I. General information

NPI: 1225764384
Provider Name (Legal Business Name): DANYEL SHERMAN MED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 MCKNIGHT DR
KNIGHTDALE NC
27545-7741
US

IV. Provider business mailing address

204 ABERCROMBIE RD
WAKE FOREST NC
27587-2149
US

V. Phone/Fax

Practice location:
  • Phone: 919-739-2485
  • Fax:
Mailing address:
  • Phone: 919-426-1278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number3204
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: