Provider Demographics
NPI:1285918540
Name:ZAVATKAY, DANA TRAHANT (PHD,BCBAD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:TRAHANT
Last Name:ZAVATKAY
Suffix:
Gender:F
Credentials:PHD,BCBAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 ROSEDALE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3913
Mailing Address - Country:US
Mailing Address - Phone:404-793-0504
Mailing Address - Fax:
Practice Address - Street 1:1070 ROSEDALE DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-3913
Practice Address - Country:US
Practice Address - Phone:404-793-0504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
GAPSY003851103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst