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NPI Code Detail

MEDICARE: PATRICIA DANEKE

MEDICARE: PATRICIA DANEKE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1316832587
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA DANEKE
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 463-223-4591
Fax Number :
Provider Business Practice Location Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 866-610-0580
Fax Number : 866-611-1558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2025
Last Update Date : 02/04/2026

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Directions to “ PATRICIA DANEKE ” Practice Location

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