Individual
AMANDA SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
1922 THE ALAMEDA STE 425, SAN JOSE, CA 95126-1453
(510) 679-3545
Mailing address
673 REGAS DR, CAMPBELL, CA 95008-4917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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