Healthcare Provider Details

I. General information

NPI: 1194668210
Provider Name (Legal Business Name): HALEY DANIELLE NEAL BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 STATE ROUTE 34
WINFIELD WV
25213-7797
US

IV. Provider business mailing address

2631 STATE ROUTE 34
WINFIELD WV
25213-7797
US

V. Phone/Fax

Practice location:
  • Phone: 681-235-3114
  • Fax:
Mailing address:
  • Phone: 681-235-3114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-87526
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: