Provider Demographics
NPI:1366973638
Name:DOSKI, DANIELLE AMANDA (MED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:AMANDA
Last Name:DOSKI
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:AMANDA
Other - Last Name:DOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CARVETH, BCBA
Mailing Address - Street 1:1788 JOHN PAUL CT
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-4472
Mailing Address - Country:US
Mailing Address - Phone:248-379-0373
Mailing Address - Fax:
Practice Address - Street 1:26210 HARPER AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-2203
Practice Address - Country:US
Practice Address - Phone:888-485-8636
Practice Address - Fax:586-218-3367
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
MI1-17-28162103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician