Provider Demographics
NPI:1487155305
Name:COKER, DEANNA SUZANNE (BCBA)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:SUZANNE
Last Name:COKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 HYDRANGEA CT
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-6722
Mailing Address - Country:US
Mailing Address - Phone:916-676-3411
Mailing Address - Fax:
Practice Address - Street 1:2023 S WESTGATE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6118
Practice Address - Country:US
Practice Address - Phone:310-899-9597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-20-46071103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst