Scott James Hawley, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-28931 Issued in FL

Practice address

2710 Staten Ave Ste a
Orlando, FL 32804-4211

Phone

(407) 692-2103

Fax

(877) 690-2003

NPI assigned

Mar 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crystal Lake Supportive Environments

  • Behavior Analyst
  • Orlando, FL
  • NPI 1932535184
  NPD (past)

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1437899002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 STATEN AVE STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044211",
            "telephone_number": "407-692-2103",
            "fax_number": "877-690-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 STATEN AVE STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044211",
            "telephone_number": "407-692-2103",
            "fax_number": "877-690-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "SCOTT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-28931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary N Hawkins, MD
• Lindsay Lee Hawkins, AAC
• Hawks Nest Behavioral Services LLC
• Michael Anthony Hawks, MD
• Ricky Lamar Hawks Jr.
• Margaret S Haworth, R.PH.
• Robert Harold Hawxhurst, LMT
• Carly Alexandria Haxel
• Daniel R Hay, D.O.
• Sarah Hay, MD

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.