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Individual

DR. SCOTT HERBST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
Mailing address
4101 W OAKDALE AVE, CHICAGO, IL 60641-5415
(775) 560-7187

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-33492
IL
103K00000X
Behavior Analyst
Primary
1-18-33492

Other

Enumeration date
04/22/2019
Last updated
07/10/2019
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