Provider Demographics
NPI:1801565130
Name:HUESGEN, DANIELLE MARY (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARY
Last Name:HUESGEN
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SE STONEMILL DR STE 270
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-3509
Mailing Address - Country:US
Mailing Address - Phone:360-622-2253
Mailing Address - Fax:833-619-0713
Practice Address - Street 1:204 SE STONEMILL DR STE 270
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-3509
Practice Address - Country:US
Practice Address - Phone:360-622-2253
Practice Address - Fax:833-619-0713
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1-24-73215103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst