Provider Demographics
NPI:1043016603
Name:DONNELLY, SIBELLA
Entity type:Individual
Prefix:
First Name:SIBELLA
Middle Name:
Last Name:DONNELLY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7125 HARMON DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7149
Mailing Address - Country:US
Mailing Address - Phone:805-207-6327
Mailing Address - Fax:
Practice Address - Street 1:7125 HARMON DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7149
Practice Address - Country:US
Practice Address - Phone:805-207-6327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician