Provider Demographics
NPI:1437032570
Name:GEPHART, DANIELLE DELORES
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DELORES
Last Name:GEPHART
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 1:18702 W 64TH ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66218-9670
Mailing Address - Country:US
Mailing Address - Phone:913-777-8845
Mailing Address - Fax:
Practice Address - Street 1:8760 MONROVIA ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3537
Practice Address - Country:US
Practice Address - Phone:913-214-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician