Provider Demographics
NPI:1225345952
Name:SCOTT-HERNANDEZ, AYANNA KAIA
Entity Type:Individual
Prefix:MRS
First Name:AYANNA
Middle Name:KAIA
Last Name:SCOTT-HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:AYANNA
Other - Middle Name:KAIA
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2705 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662-3389
Mailing Address - Country:US
Mailing Address - Phone:800-492-4227
Mailing Address - Fax:
Practice Address - Street 1:81840 AVENUE 46
Practice Address - Street 2:SUITE 201
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-3936
Practice Address - Country:US
Practice Address - Phone:760-391-6999
Practice Address - Fax:760-391-6998
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health