Provider Demographics
NPI:1588023568
Name:SCALA, JOSEPHINE ANNA (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:ANNA
Last Name:SCALA
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:SCALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, BCBA
Mailing Address - Street 1:270 IVEN AVE APT 2D
Mailing Address - Street 2:
Mailing Address - City:ST DAVIDS
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4915
Mailing Address - Country:US
Mailing Address - Phone:908-839-5971
Mailing Address - Fax:
Practice Address - Street 1:270 IVEN AVE APT 2D
Practice Address - Street 2:
Practice Address - City:ST DAVIDS
Practice Address - State:PA
Practice Address - Zip Code:19087-4915
Practice Address - Country:US
Practice Address - Phone:908-839-5971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH003054103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst