Provider Demographics
NPI:1619377413
Name:SCOTT, TANEHA MONIQUE (MA)
Entity Type:Individual
Prefix:MS
First Name:TANEHA
Middle Name:MONIQUE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 BOWER HILL RD
Mailing Address - Street 2:UNIT 13371
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1333
Mailing Address - Country:US
Mailing Address - Phone:412-559-0279
Mailing Address - Fax:215-944-7361
Practice Address - Street 1:1099 BOWER HILL RD
Practice Address - Street 2:UNIT 13371
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1333
Practice Address - Country:US
Practice Address - Phone:412-206-6184
Practice Address - Fax:215-944-7361
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No172V00000XOther Service ProvidersCommunity Health Worker
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage