NPI 1962901421 · live from the CMS NPI Registry
Greggory Aaron Escalante, MA, BCBA
Behavior Analyst in Davenport, IA. National Provider Identifier 1962901421, active.
NPI record
| NPI | 1962901421 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4959 Utica Ridge Rd, Davenport, IA 52807 |
| Practice phone | 563-362-9631 |
| Enumerated | February 9, 2018 |
| Last updated | September 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 1-24-75792 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.