Provider Demographics
NPI:1932608023
Name:MCCLEES-DRAKE, SORCHA ROIS (BCBA)
Entity Type:Individual
Prefix:
First Name:SORCHA
Middle Name:ROIS
Last Name:MCCLEES-DRAKE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:SORCHA
Other - Middle Name:ROIS
Other - Last Name:MCCLEES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21600 OXNARD ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7807
Mailing Address - Country:US
Mailing Address - Phone:818-345-2345
Mailing Address - Fax:
Practice Address - Street 1:15708 POMERADO RD STE 102N
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2035
Practice Address - Country:US
Practice Address - Phone:858-746-5569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-05
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-21-52490103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst