Provider Demographics
NPI:1346512787
Name:SCULL, CHRISTOPHER (BCBA)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SCULL
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7418 10TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-5104
Mailing Address - Country:US
Mailing Address - Phone:727-254-3657
Mailing Address - Fax:727-527-8904
Practice Address - Street 1:7418 10TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5104
Practice Address - Country:US
Practice Address - Phone:727-254-3657
Practice Address - Fax:727-527-8904
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst