Provider Demographics
NPI:1740622661
Name:DANILOVICH, MARIA (MSED)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:DANILOVICH
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 BATCHELDER ST
Mailing Address - Street 2:APT. 7M
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1554
Mailing Address - Country:US
Mailing Address - Phone:718-290-7806
Mailing Address - Fax:
Practice Address - Street 1:2540 BATCHELDER ST
Practice Address - Street 2:APT. 7M
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1554
Practice Address - Country:US
Practice Address - Phone:718-290-7806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY498423111103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst