Sabrina Sue Danielson, BCBA
Individual provider Active NPI Behavior Analyst · Estacada, OR
NPI 1962882860 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1962882860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- ABA-B-10191598 (OR)
- Practice address
- 43299 SE Porter Rd
Estacada, OR 97023-9549 - Phone
- (619) 305-5657
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-00235 | CA | MD | Mental Health Counselor |
| ABA-B-10191598 | OR | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14-00235 | CA | |
| Behavior Analyst | 103K00000X | ABA-B-10191598 | OR | Yes |
Addresses
Primary practice location
43299 SE Porter Rd
Estacada, OR 97023-9549
Mailing address
43299 SE Porter Rd
Estacada, OR 97023-9549
Phone (619) 305-5657
Other practice location 1
892 27th St
San Diego, CA 92154-1444
Phone (619) 575-4687
Other providers in Estacada, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.