Provider Demographics
NPI:1588939227
Name:SHEEHAN, DAYNA ELAINE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:DAYNA
Middle Name:ELAINE
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:DAYNA
Other - Middle Name:ELAINE
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 W TULPEHOCKEN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-3210
Mailing Address - Country:US
Mailing Address - Phone:215-779-8913
Mailing Address - Fax:
Practice Address - Street 1:250 W TULPEHOCKEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-3210
Practice Address - Country:US
Practice Address - Phone:215-779-8913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-11-9510103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst