Provider Demographics
NPI:1619675741
Name:QUINTANA, DANIELLE (RBT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18602 CLAY RD UNIT 11
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7254
Mailing Address - Country:US
Mailing Address - Phone:732-703-0044
Mailing Address - Fax:
Practice Address - Street 1:12615 ASHFORD HILLS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-3842
Practice Address - Country:US
Practice Address - Phone:713-827-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRBT-22-251500106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician