Provider Demographics
NPI:1376430629
Name:JAMES, DAQUAN WEST
Entity type:Individual
Prefix:
First Name:DAQUAN
Middle Name:WEST
Last Name:JAMES
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-1751
Mailing Address - Country:US
Mailing Address - Phone:860-819-1525
Mailing Address - Fax:
Practice Address - Street 1:92 MONROE ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-1751
Practice Address - Country:US
Practice Address - Phone:860-819-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician