Provider Demographics
NPI:1033644042
Name:LINDBO, DANYELL LOUISE (BCBA)
Entity Type:Individual
Prefix:
First Name:DANYELL
Middle Name:LOUISE
Last Name:LINDBO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 TRAFALGAR LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-5179
Mailing Address - Country:US
Mailing Address - Phone:919-548-8884
Mailing Address - Fax:
Practice Address - Street 1:920 US 64 HWY W # 1005
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-7184
Practice Address - Country:US
Practice Address - Phone:919-297-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2023-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst