Provider Demographics
NPI:1275848418
Name:HOWARD, DANNY CORNELL JR
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:CORNELL
Last Name:HOWARD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11800 N DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7969
Mailing Address - Country:US
Mailing Address - Phone:405-570-9922
Mailing Address - Fax:
Practice Address - Street 1:11800 N DEWEY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7969
Practice Address - Country:US
Practice Address - Phone:405-570-9922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst