Provider Demographics
NPI:1447761036
Name:WRIGHT, DANIELLE ALEXANDRA
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ALEXANDRA
Last Name:WRIGHT
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 1:9000 GARTH RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3132
Mailing Address - Country:US
Mailing Address - Phone:443-379-3151
Mailing Address - Fax:
Practice Address - Street 1:170 S GREEN VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3132
Practice Address - Country:US
Practice Address - Phone:800-615-2361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst