Provider Demographics
NPI:1720338593
Name:MULQUEEN, DANAH LYNN (BCBA)
Entity Type:Individual
Prefix:
First Name:DANAH
Middle Name:LYNN
Last Name:MULQUEEN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11250 144TH ST
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-3845
Mailing Address - Country:US
Mailing Address - Phone:352-514-2795
Mailing Address - Fax:
Practice Address - Street 1:8267 YARDLEY AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-3667
Practice Address - Country:US
Practice Address - Phone:727-742-8697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst