Provider Demographics
NPI:1467895961
Name:TRAYNOR, SCOTT LEE (BCBA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:LEE
Last Name:TRAYNOR
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 1:11830 GRACES WAY
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6313
Mailing Address - Country:US
Mailing Address - Phone:412-860-5367
Mailing Address - Fax:352-432-5244
Practice Address - Street 1:11830 GRACES WAY
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6313
Practice Address - Country:US
Practice Address - Phone:412-860-5367
Practice Address - Fax:352-432-5244
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-03-1048103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst