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General NPI Number Information
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NPI Number | 1205434081
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Entity Type | Individual
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Provider Name | DANYEL JANET KIZZIE CHEATHON
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Gender | Female
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 180 PROMENADE CIRCLE
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City | SACRAMENTO
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State | CA
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Zip | 95834
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Country | US
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Telephone | 510-268-8120
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Fax |
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Provider Business Mailing Address
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Address Line | 2516 SABRE COURT A REDDING, CA 96002
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City | REDDING
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State | CA
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Zip | 96002-4162
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Country | US
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Telephone | 415-860-4191
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | CA
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