Provider Demographics
NPI:1689976748
Name:SCOURFIELD, JAIME LEIGH (MS, BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:LEIGH
Last Name:SCOURFIELD
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:21000 N PIMA RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6665
Practice Address - Country:US
Practice Address - Phone:480-535-3828
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-10-7922103K00000X
CO1-10-7922103K00000X
AZBEH-001077103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-10-7922OtherBCBA CERTIFICATE