Nadja Tyra Scott, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12261792 Issued in CA

Practice address

3130 La Selva St
San Mateo, CA 94403-2148

Phone

(650) 232-4105

Fax

(650) 332-2333

NPI assigned

Dec 23, 2022

Last updated

Dec 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1851003644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 LA SELVA ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032148",
            "telephone_number": "650-232-4105",
            "fax_number": "650-332-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 LA SELVA ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032148",
            "telephone_number": "650-232-4105",
            "fax_number": "650-332-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "NADJA",
        "middle_name": "TYRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12261792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "members.centralreach.com",
            "affiliation": "N",
            "endpointDescription": "EMR Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical records",
            "address_1": "3130 La Selva St",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944032148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Marie Schwarz, MD
• Jessica Brittany Sclafani, PA-C
• Theresa Nina Scopazzi, DDS
• Christopher Alexander Scott, D.C.
• Lauren Scott
• Rahnayjah Scott
• Christine Erin Seagren
• Makaela Seamster
• Seema Sangwan MD Inc a California Professional Corporation
• Katriona Victoria Seevers, C.D.

• Behavior Analyst in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.