Provider Demographics
NPI:1437565538
Name:DINEEN, DEBRA K (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:K
Last Name:DINEEN
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11646
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-5646
Mailing Address - Country:US
Mailing Address - Phone:530-304-3481
Mailing Address - Fax:
Practice Address - Street 1:4389 POINT WHITE DR NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-4023
Practice Address - Country:US
Practice Address - Phone:530-304-3481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst