Provider Demographics
NPI:1902110448
Name:DEMARIE, DANIKA NICOLE
Entity Type:Individual
Prefix:
First Name:DANIKA
Middle Name:NICOLE
Last Name:DEMARIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 CRANCH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-1804
Mailing Address - Country:US
Mailing Address - Phone:201-788-6187
Mailing Address - Fax:
Practice Address - Street 1:86 CRANCH ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-1804
Practice Address - Country:US
Practice Address - Phone:201-788-6187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst