Most Relevant Information
Provider Data
| NPI Number: | 1003361981 |
| Provider Name: | DANIELLE NICOLE WIEMHOLT MS, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2016 |
| Last Updated: | 08/16/2018 |
Provider Practice Location
4251 S HIGUERA ST STE 800
SAN LUIS OBISPO
CA
934017736
Practice Location Phone/Fax
| Phone: | 8055417130 |
| Fax: |
Provider Mailing Location
4251 S HIGUERA ST STE 800
SAN LUIS OBISPO
CA
934017736
Provider Mailing Phone/Fax
| Phone: | 8055417130 |
| Fax: | 8055417131 |