Active NPI
Danielle Nichole Nussel, BCBA
- Behavior Analyst
- Deltona, FL
National Provider Identifier
1235674359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-24188
- Practice address
- 1729 Templewood Ave
Deltona, FL 32725 - Phone
- (352) 210-1973
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24188 | CO | Primary |
Addresses
Primary practice location
1729 Templewood Ave
Deltona, FL 32725
Mailing address
1729 Templewood Ave
Deltona, FL 32725-4510
Phone (352) 210-1973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019584200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1235674359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 TEMPLEWOOD AVE",
"city": "DELTONA",
"state": "FL",
"postal_code": "327254510",
"telephone_number": "352-210-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 TEMPLEWOOD AVE",
"city": "DELTONA",
"state": "FL",
"postal_code": "32725",
"telephone_number": "352-210-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSEL",
"first_name": "DANIELLE",
"middle_name": "NICHOLE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-16-24188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019584200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.