Healthcare Provider Details

I. General information

NPI: 1144049735
Provider Name (Legal Business Name): DANIELLE MEISE RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7960 DONEGAN DR STE 217
MANASSAS VA
20109-8236
US

IV. Provider business mailing address

12205 PENDER CREEK CIR APT E
FAIRFAX VA
22033-3918
US

V. Phone/Fax

Practice location:
  • Phone: 703-392-6166
  • Fax:
Mailing address:
  • Phone:
  • 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: