Provider Demographics
NPI:1871122093
Name:VERZI, SCOTT ANTHONY JR (BCBA)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ANTHONY
Last Name:VERZI
Suffix:JR
Gender:M
Credentials:BCBA
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Mailing Address - Street 1:9025 ALCOSTA BLVD APT 257
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4053
Mailing Address - Country:US
Mailing Address - Phone:925-399-1459
Mailing Address - Fax:925-248-8863
Practice Address - Street 1:9025 ALCOSTA BLVD APT 257
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4053
Practice Address - Country:US
Practice Address - Phone:925-399-1459
Practice Address - Fax:925-248-8863
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA11832822103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty