Latrise Danae Nunnally, is a
Behavior Analyst based in San Jose, California. Latrise Danae Nunnally is licensed to practice in * (Not Available) (license number ) and her current practice location is
160 E. Virginia Street, Suite 280, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 287-6200.
NPI number for Latrise Danae Nunnally is 1639404791 and her current mailing address is 160 E. Virginia Street, Suite 280, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639404791.
Healthcare Provider's Profile
| Full Name | Latrise Danae Nunnally |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 160 E. Virginia Street, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639404791
- Provider Enumeration Date: 10/07/2009
- Last Update Date: 07/01/2025
Medical Identifiers
Medical identifiers for Latrise Danae Nunnally such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639404791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latrise Danae Nunnally is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Latrise Danae Nunnally,
160 E. Virginia Street, Suite 280,
San Jose, CA 95112
Ph: (408) 287-6200 | Latrise Danae Nunnally,
160 E. Virginia Street, Suite 280,
San Jose, CA 95112
Ph: (408) 287-6200 |
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