Provider Demographics
NPI:1376024455
Name:NATIONAL DISABILITY SPECIALIST
Entity Type:Organization
Organization Name:NATIONAL DISABILITY SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SOCIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:SANEDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MS
Authorized Official - Phone:281-995-0393
Mailing Address - Street 1:19535 TAHOKA SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7307
Mailing Address - Country:US
Mailing Address - Phone:281-995-0393
Mailing Address - Fax:
Practice Address - Street 1:19535 TAHOKA SPRINGS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7307
Practice Address - Country:US
Practice Address - Phone:281-995-0393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HOUSTON YOUTH SPORTS ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty