Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danielle Southern, CB

Individual provider Behavior Technician · NPI 1104473222

Danielle Southern, CB is a Behavior Technician in Issaquah, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2019

Practice location Address checks out

1420 NW Gilman Blvd # 2604
Issaquah, WA 98027-5394
Phone: (805) 668-8961
Fax: (208) 416-6922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence CB60997173 (WA)

Record details

NPI number1104473222
Entity typeIndividual (Type 1)
GenderFemale
Credentials CB
Sole proprietorYes
NPI enumeratedAugust 22, 2019
Last updated in NPPESAugust 22, 2019
Mailing address1420 Nw Gilman Blvd # 2604, Issaquah, WA 98027-5394

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