Individual
SCOTT ANDREW ECKELBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 N 155TH ST, B, BASEHOR, KS 66007-7100
(913) 662-7071
Mailing address
517 STONE POINTE DR, MANHATTAN, KS 66503-0431
(785) 564-7208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48-1284001
CASE MAN./ CARE COORD.
KS
Enumeration date
09/07/2015
Last updated
09/07/2015
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