Individual
MISS DANIELLE MARIE PHANEUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 OFFICE PKWY, EAST PROVIDENCE, RI 02914-1643
(401) 270-7110
Mailing address
1 OFFICE PKWY, EAST PROVIDENCE, RI 02914-1643
(401) 240-7110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00454
RI
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/23/2018
Last updated
01/24/2025
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