Provider Demographics
NPI:1972093169
Name:DADULA, RASHELLE JEANNETTE (M ED)
Entity Type:Individual
Prefix:
First Name:RASHELLE
Middle Name:JEANNETTE
Last Name:DADULA
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 ASILOMAR AVE
Mailing Address - Street 2:
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-3565
Mailing Address - Country:US
Mailing Address - Phone:831-261-5466
Mailing Address - Fax:
Practice Address - Street 1:605 ASILOMAR AVE.
Practice Address - Street 2:
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960
Practice Address - Country:US
Practice Address - Phone:831-261-5466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst