Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1114582731 |
---|---|
Provider Name | Prof. Davina Chanda Scott |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Brown Deer, WI 53209-1550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2019 |
Last Update Date | 09/05/2019 |