Provider Demographics
NPI:1437899002
Name:HAWLEY, SCOTT JAMES (BCBA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:JAMES
Last Name:HAWLEY
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 1:2710 STATEN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4211
Mailing Address - Country:US
Mailing Address - Phone:407-692-2103
Mailing Address - Fax:877-690-2003
Practice Address - Street 1:2710 STATEN AVE STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4211
Practice Address - Country:US
Practice Address - Phone:407-692-2103
Practice Address - Fax:877-690-2003
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-17-28931103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst