Provider Demographics
NPI:1881487148
Name:MCCASKILL, DAMON MONTRELL JR
Entity type:Individual
Prefix:
First Name:DAMON
Middle Name:MONTRELL
Last Name:MCCASKILL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19645 N 31ST AVE APT 3036
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-3994
Mailing Address - Country:US
Mailing Address - Phone:310-330-6173
Mailing Address - Fax:
Practice Address - Street 1:8444 N 90TH ST STE 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4440
Practice Address - Country:US
Practice Address - Phone:480-567-0160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst