Provider Demographics
NPI:1265166334
Name:SCOTT-DAVIS, JENNY ALETHIA (TEACHER)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:ALETHIA
Last Name:SCOTT-DAVIS
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-4500
Mailing Address - Country:US
Mailing Address - Phone:347-544-0955
Mailing Address - Fax:
Practice Address - Street 1:4643 MATILDA AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1506
Practice Address - Country:US
Practice Address - Phone:914-441-5415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst