Provider Demographics
NPI:1205626165
Name:MUSSA, DHAVAN FELICIA (MA, BCBA)
Entity type:Individual
Prefix:MISS
First Name:DHAVAN
Middle Name:FELICIA
Last Name:MUSSA
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7920 S 25TH LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-7659
Mailing Address - Country:US
Mailing Address - Phone:347-207-5963
Mailing Address - Fax:
Practice Address - Street 1:931 E SOUTHERN AVE STE 210
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5043
Practice Address - Country:US
Practice Address - Phone:877-264-6747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst