1134953128 NPI number — MRS. BRITTANY ELAINE DANIEL MA, PLBA, RBT

Table of content: MRS. BRITTANY ELAINE DANIEL MA, PLBA, RBT (NPI 1134953128)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134953128 NPI number — MRS. BRITTANY ELAINE DANIEL MA, PLBA, RBT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DANIEL
Provider First Name:
BRITTANY
Provider Middle Name:
ELAINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, PLBA, RBT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARRIS
Provider Other First Name:
BRITTANY
Provider Other Middle Name:
ELAINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RBT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1134953128
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1840 N RANGE LINE RD STE 6
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOPLIN
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64801-8322
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-680-0777
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1840 N RANGE LINE RD STE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOPLIN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64801-8322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-680-0777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  2024034599 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com