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Individual
COREY SCOTT
Active
Individual
COREY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000804
VA
103K00000X
Behavior Analyst
0134000068
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133000804
LICENSED BEHAVIOR ANALYST
VA
01
—
1-16-22719
BCBA
—
05
—
1825
—
VA
Enumeration date
11/12/2015
Last updated
02/23/2022
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