Provider Demographics
NPI:1689072555
Name:LARRABEE, DANIEL JOSEPH (MA, BCBA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:LARRABEE
Suffix:
Gender:M
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:151 W BURNSVILLE PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2524
Mailing Address - Country:US
Mailing Address - Phone:952-564-3000
Mailing Address - Fax:952-847-4967
Practice Address - Street 1:151 W BURNSVILLE PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2524
Practice Address - Country:US
Practice Address - Phone:952-564-3000
Practice Address - Fax:952-847-4967
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst