Provider Demographics
NPI:1790665602
Name:DAYRELL, JOSEPH K SR
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:K
Last Name:DAYRELL
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 E PROVIDENCE RD APT A105
Mailing Address - Street 2:
Mailing Address - City:ALDAN
Mailing Address - State:PA
Mailing Address - Zip Code:19018-4369
Mailing Address - Country:US
Mailing Address - Phone:980-337-1590
Mailing Address - Fax:
Practice Address - Street 1:770 E PROVIDENCE RD APT A105
Practice Address - Street 2:
Practice Address - City:ALDAN
Practice Address - State:PA
Practice Address - Zip Code:19018-4369
Practice Address - Country:US
Practice Address - Phone:980-337-1590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH005418106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst