Provider Demographics
NPI:1912400656
Name:DOWNS, DANIELA
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:DOWNS
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 1:2342 PROFESSIONAL PKWY STE. 300
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-5157
Mailing Address - Country:US
Mailing Address - Phone:805-979-9941
Mailing Address - Fax:805-222-3041
Practice Address - Street 1:2342 PROFESSIONAL PKWY STE 300
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-6819
Practice Address - Country:US
Practice Address - Phone:805-979-9941
Practice Address - Fax:805-222-3041
Is Sole Proprietor?:No
Enumeration Date:2018-03-08
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15-02799106S00000X
CA1-19-36409103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician