Moore, Danielle Colleen Doherty

Moore, Danielle Colleen Doherty is an individual health care provider with primary practice located at 8000 Brook Rd , Richmond VA 23227-1306. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moore, Danielle Colleen Doherty can be contacted via phone (804) 553-3285.

Contact Information

Primary practice address
8000 Brook Rd Richmond VA 23227-1306
Phone: (804) 553-3285
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004938 Virginia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000474 Virginia

Profile Details

NPI number 1689971806
LBN Legal business name Moore, Danielle Colleen Doherty
Credentials MS, LPC, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2011
Last updated Apr 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689971806 NPPES
Virginia MEDICAID 1992959928

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