Individual
DANIELLE PATRICIA QUIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1199 B AVE, TERREBONNE, OR 97760-9440
(541) 323-5330
Mailing address
1251 NE ELM ST, PRINEVILLE, OR 97754-1206
(541) 323-5330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283234
—
OR
Enumeration date
03/01/2017
Last updated
03/01/2017
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