Individual provider Active NPI

Cameron Montgomery Scallan, M.A., BCBA

  • Behavior Analyst
  • Farmers Branch, TX
National Provider Identifier
1003365479
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
13604 Midway Rd
Skill Sprout
Farmers Branch, TX 75244-4305
Phone
(469) 265-5720
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

13604 Midway Rd
Skill Sprout
Farmers Branch, TX 75244-4305

Mailing address

13604 Midway Rd
Skill Sprout
Farmers Branch, TX 75244-4305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1003365479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13604 MIDWAY RD",
            "address_2": "SKILL SPROUT",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752444305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13604 MIDWAY RD",
            "address_2": "SKILL SPROUT",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752444305",
            "telephone_number": "469-265-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLAN",
        "first_name": "CAMERON",
        "middle_name": "MONTGOMERY",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.