Provider Demographics
NPI:1952849986
Name:FILLNER, DANIELLE (BA)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:FILLNER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 CHANNEL DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-4915
Mailing Address - Country:US
Mailing Address - Phone:805-223-1038
Mailing Address - Fax:
Practice Address - Street 1:3300 CHANNEL DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-4915
Practice Address - Country:US
Practice Address - Phone:805-223-1038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician