Provider Demographics
NPI:1093151219
Name:SCAPPATICCIO, DENISE (BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:
Last Name:SCAPPATICCIO
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10878 STONINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8414
Mailing Address - Country:US
Mailing Address - Phone:718-219-4319
Mailing Address - Fax:
Practice Address - Street 1:10878 STONINGTON AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8414
Practice Address - Country:US
Practice Address - Phone:718-219-4319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-12-12297103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst