Provider Demographics
NPI:1629951934
Name:SPADA, DANIELLE KRISTINE (MA, BCBA, LBS)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:KRISTINE
Last Name:SPADA
Suffix:
Gender:F
Credentials:MA, BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SUGARMAPLE LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19055-2007
Mailing Address - Country:US
Mailing Address - Phone:484-569-0377
Mailing Address - Fax:
Practice Address - Street 1:1 SUGARMAPLE LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055-2007
Practice Address - Country:US
Practice Address - Phone:484-569-0377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH007869103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst