Provider Demographics
NPI:1578829552
Name:ROCKWELL, DENISE BESS (BCBA-D, PHD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:BESS
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:BCBA-D, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 CAMPUS RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-1653
Mailing Address - Country:US
Mailing Address - Phone:818-427-8300
Mailing Address - Fax:
Practice Address - Street 1:1555 CAMPUS RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-1653
Practice Address - Country:US
Practice Address - Phone:818-427-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-11-8478103K00000X
CAPSY27727103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst