Danielle Southern, CB
NPI #1104473222 in Issaquah, Washington
Provider Information
- NPI Number
- 1104473222
- Entity Type
- Individual
- Name
- Danielle Southern, CB
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- CB
- Enumeration Date
- Aug 22, 2019
- Last Updated
- Aug 22, 2019
Practice Location
- Address
- 1420 NW GILMAN BLVD # 2604
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-5394
- Phone
- (805) 668-8961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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