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

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