Provider Demographics
NPI:1033639828
Name:DANIELE, MEGAN RENEE
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:RENEE
Last Name:DANIELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 COTTONWOOD CREEK TRL STE 510
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2689
Mailing Address - Country:US
Mailing Address - Phone:512-528-3131
Mailing Address - Fax:
Practice Address - Street 1:1210 COTTONWOOD CREEK TRL STE 510
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2689
Practice Address - Country:US
Practice Address - Phone:512-528-3131
Practice Address - Fax:512-598-9142
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4329103K00000X
TX88064101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst