Provider Demographics
NPI:1053717066
Name:HOWELL, DANIEL (BA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:HOWELL
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4524 S QUAKER AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-4100
Mailing Address - Country:US
Mailing Address - Phone:318-278-7061
Mailing Address - Fax:
Practice Address - Street 1:501 S CINCINNATI AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-4801
Practice Address - Country:US
Practice Address - Phone:318-278-7061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst