Provider Demographics
NPI:1205328051
Name:GORBET, DANIELLE
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:GORBET
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:DYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3419 VALLE VERDE DR
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2414
Mailing Address - Country:US
Mailing Address - Phone:707-867-8791
Mailing Address - Fax:707-635-8215
Practice Address - Street 1:3419 VALLE VERDE DR
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2414
Practice Address - Country:US
Practice Address - Phone:707-867-8791
Practice Address - Fax:707-635-8215
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst