Provider Demographics
NPI:1073901856
Name:SCOTTI, ASHLEY JOY (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JOY
Last Name:SCOTTI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:JOY
Other - Last Name:GAMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:65 ENTERPRISE
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-2705
Mailing Address - Country:US
Mailing Address - Phone:949-531-3474
Mailing Address - Fax:
Practice Address - Street 1:65 ENTERPRISE
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-2705
Practice Address - Country:US
Practice Address - Phone:949-531-3474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-02
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-16965103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst