Provider Demographics
NPI:1760642995
Name:BATISTE, DANA DANIELLE (FP)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:DANIELLE
Last Name:BATISTE
Suffix:
Gender:F
Credentials:FP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44151 W YUCCA LN
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85238-4025
Mailing Address - Country:US
Mailing Address - Phone:310-902-4582
Mailing Address - Fax:
Practice Address - Street 1:44151 W YUCCA LN
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85238-4025
Practice Address - Country:US
Practice Address - Phone:310-902-4582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker