Provider Demographics
NPI:1679876387
Name:DANQUAH-BROBBY, PAULA SELINA (MS, BCBA)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:SELINA
Last Name:DANQUAH-BROBBY
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6959 EXETER CT APT 103
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-6470
Mailing Address - Country:US
Mailing Address - Phone:240-277-2597
Mailing Address - Fax:
Practice Address - Street 1:6959 EXETER CT APT 103
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-6470
Practice Address - Country:US
Practice Address - Phone:240-277-2597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-10-7465103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst