DAETRA PONNELL
NPI 1750844031
Behavior Technician in Antioch, CA
About Daetra Ponnell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAETRA PONNELL (NPI 1750844031) is an individual behavior technician in Antioch, California and active in the NPI registry since April 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Daetra Ponnell's NPI number?
The NPI number for Daetra Ponnell is 1750844031. It was assigned to this individual provider in the NPPES registry on April 12, 2019.
Where is Daetra Ponnell located?
Daetra Ponnell practices at 4849 Lone Tree Way Suite C, Antioch, CA 94531. The listed phone number is (303) 989-8169.
What is Daetra Ponnell's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Daetra Ponnell was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.