Individual
AMBER SCOGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MARCUS DR, GREENVILLE, SC 29615-4818
(864) 631-2084
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 361-4000
(615) 815-1946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-32633
SC
Other
Enumeration date
03/13/2018
Last updated
10/04/2021
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