Provider Demographics
NPI:1497392294
Name:CHATEIGNE, DANIELLE ALEXIS
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ALEXIS
Last Name:CHATEIGNE
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 1:6889 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-6827
Mailing Address - Country:US
Mailing Address - Phone:407-601-0491
Mailing Address - Fax:
Practice Address - Street 1:6889 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-6827
Practice Address - Country:US
Practice Address - Phone:407-601-0491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-30
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician