Provider Demographics
NPI:1952668949
Name:POWELL, DANIEL CRAIG (MFT, BCBA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:CRAIG
Last Name:POWELL
Suffix:
Gender:M
Credentials:MFT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 MORGAN HILL ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-7685
Mailing Address - Country:US
Mailing Address - Phone:818-746-6867
Mailing Address - Fax:
Practice Address - Street 1:373 MORGAN HILL ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-7685
Practice Address - Country:US
Practice Address - Phone:818-746-6867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst