Provider Demographics
NPI:1669845061
Name:O'CON, DAYNA
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:O'CON
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 1:114 HENNIGAN STREET
Mailing Address - Street 2:
Mailing Address - City:ROBELINE
Mailing Address - State:LA
Mailing Address - Zip Code:71469
Mailing Address - Country:US
Mailing Address - Phone:318-581-3801
Mailing Address - Fax:
Practice Address - Street 1:114 HENNIGAN STREET
Practice Address - Street 2:
Practice Address - City:ROBELINE
Practice Address - State:LA
Practice Address - Zip Code:71469
Practice Address - Country:US
Practice Address - Phone:318-581-3801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst