Southern, Danielle
Southern, Danielle is an sole proprietor health care provider with primary practice located at 1420 Nw Gilman Blvd # 2604 , Issaquah WA 98027-5394. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Southern, Danielle can be contacted via phone (805) 668-8961.Contact Information
Primary practice address
1420 Nw Gilman Blvd # 2604
Issaquah WA 98027-5394
Phone: (805) 668-8961
Fax: (208) 416-6922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | CB60997173 | Washington |
Profile Details
| NPI number | 1104473222 |
|---|---|
| LBN Legal business name | Southern, Danielle |
| Credentials | CB |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2019 |
| Last updated | Aug 22nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104473222 | NPPES |
| Washington | Other | CB60997173 | STATE LICENSE |
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