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NPI Code Detail

MEDICARE: DANIELLE KING

MEDICARE:   DANIELLE  KING
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
1103K00000XBehavior Analyst0133000701VA

General Provider Information

NPI Number : 1780084624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE KING
Provider Business Mailing Address
First Line : 1401 E ABINGDON DR APT 6
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1159
Country : US
Telephone Number : 717-479-0909
Fax Number :
Provider Business Practice Location Address
First Line : 1401 E ABINGDON DR APT 6
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1159
Country : US
Telephone Number : 717-479-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2014
Last Update Date : 01/02/2017

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Directions to “ DANIELLE KING ” Practice Location

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