Provider Demographics
NPI:1225314693
Name:SAYEBROOK, DANIELLE C (BCBA, LBA, CC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:C
Last Name:SAYEBROOK
Suffix:
Gender:
Credentials:BCBA, LBA, CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11032 20TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6552
Mailing Address - Country:US
Mailing Address - Phone:206-715-8270
Mailing Address - Fax:
Practice Address - Street 1:9714 3RD AVE NE STE 206
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2046
Practice Address - Country:US
Practice Address - Phone:206-715-8270
Practice Address - Fax:206-641-7222
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABA60762019103K00000X
103K00000X
WACL60173753101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-08-4901OtherBOARD CERTIFIED BEHAVIOR ANALYST
WABA60762019OtherLICENSED BEHAVIOR ANALYST
WACL60173753OtherCOUNSELOR CERTIFIED