Provider Demographics
NPI:1780232124
Name:WILKINSON, DANYLE V (MA, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:DANYLE
Middle Name:V
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10222 DUNLEITH LOOP
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4566
Mailing Address - Country:US
Mailing Address - Phone:251-463-1913
Mailing Address - Fax:
Practice Address - Street 1:10222 DUNLEITH LOOP
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4566
Practice Address - Country:US
Practice Address - Phone:251-463-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst