Individual
DANIELLE NICHOLE NUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1729 TEMPLEWOOD AVE, DELTONA, FL 32725
(352) 210-1973
Mailing address
1729 TEMPLEWOOD AVE, DELTONA, FL 32725-4510
(352) 210-1973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24188
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019584200
—
FL
Enumeration date
12/28/2016
Last updated
06/07/2018
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