Individual
CARLY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8562
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2024017884
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174488
—
WA
Enumeration date
10/09/2018
Last updated
09/03/2025
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