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NPI Code Detail

MEDICARE: DANIELLE DAVIS

MEDICARE:   DANIELLE  DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1144165663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE DAVIS
Provider Business Mailing Address
First Line : 6101 W CENTINELA AVE STE 190
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6101 W CENTINELA AVE STE 190
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6337
Country : US
Telephone Number : 818-788-1003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ DANIELLE DAVIS ” Practice Location

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