Provider Demographics
NPI:1437704574
Name:JARDINE, DANNIELLE ROBIN (RBT)
Entity Type:Individual
Prefix:MS
First Name:DANNIELLE
Middle Name:ROBIN
Last Name:JARDINE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
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Mailing Address - Street 1:150 SUTTER ST UNIT 120
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-9004
Mailing Address - Country:US
Mailing Address - Phone:888-657-4456
Mailing Address - Fax:415-989-5001
Practice Address - Street 1:744 MONTGOMERY ST SUITE 400
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:888-657-4456
Practice Address - Fax:415-989-5001
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician