Provider Demographics
NPI:1194391268
Name:JAMES, DA'NAYSIA RENEE
Entity Type:Individual
Prefix:
First Name:DA'NAYSIA
Middle Name:RENEE
Last Name:JAMES
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 1:21 SACRAMENTO DR APT 6K
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1652
Mailing Address - Country:US
Mailing Address - Phone:914-520-7583
Mailing Address - Fax:
Practice Address - Street 1:908 SALISBURY GRN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6123
Practice Address - Country:US
Practice Address - Phone:914-520-7583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-31
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0134000551106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst