Healthcare Provider Details
I. General information
NPI: 1225314693
Provider Name (Legal Business Name): DANIELLE C SAYEBROOK BCBA, LBA, CC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/28/2011
Last Update Date: 04/27/2025
Certification Date: 04/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9714 3RD AVE NE STE 206
SEATTLE WA
98115-2046
US
IV. Provider business mailing address
11032 20TH AVE NE
SEATTLE WA
98125-6552
US
V. Phone/Fax
- Phone: 206-715-8270
- Fax: 206-641-7222
- Phone: 206-715-8270
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | CL60173753 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | BA60762019 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: