Provider Demographics
NPI:1467206441
Name:KRIMBOW, DANIELLE D (BEHAVIOR THERAPIST)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:D
Last Name:KRIMBOW
Suffix:
Gender:F
Credentials:BEHAVIOR THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 RIDGELINE DR # D301
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-8755
Mailing Address - Country:US
Mailing Address - Phone:714-270-9270
Mailing Address - Fax:
Practice Address - Street 1:2751 RIDGELINE DR # D301
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-8755
Practice Address - Country:US
Practice Address - Phone:714-270-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst