Provider Demographics
NPI:1013704915
Name:VARGAS-O'CONNELL, DANIELLE B
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:B
Last Name:VARGAS-O'CONNELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:B
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:611 N BRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1221
Mailing Address - Country:US
Mailing Address - Phone:747-286-2600
Mailing Address - Fax:
Practice Address - Street 1:611 N BRAND BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1221
Practice Address - Country:US
Practice Address - Phone:747-286-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician