Danyel Janet Kizzie Cheathon, is a
Behavior Technician based in Concord, California. Danyel Janet Kizzie Cheathon is licensed to practice in California (license number ) and her current practice location is
1200 Concord Avenue Suite 185, Concord, California. She can be reached at her office (for appointments etc.) via phone at
(510) 268-8120.
NPI number for Danyel Janet Kizzie Cheathon is 1205434081 and her current mailing address is 350 Roseville Pkwy Apt 2113, Roseville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205434081.
Healthcare Provider's Profile
| Full Name | Danyel Janet Kizzie Cheathon |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
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| Location | 1200 Concord Avenue Suite 185, Concord, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205434081
- Provider Enumeration Date: 10/13/2020
- Last Update Date: 06/18/2024
Medical Identifiers
Medical identifiers for Danyel Janet Kizzie Cheathon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205434081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (California) | Secondary |
| 172V00000X | Community Health Worker | (California) | Secondary |
| 106S00000X | Behavior Technician | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Danyel Janet Kizzie Cheathon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Danyel Janet Kizzie Cheathon,
350 Roseville Pkwy Apt 2113,
Roseville, CA 95747-4162
Ph: (916) 938-0401 | Danyel Janet Kizzie Cheathon,
1200 Concord Avenue Suite 185,
Concord, CA 94520
Ph: (510) 268-8120 |
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