Individual
MR. THOMAS ANTHONY SCOLARICI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
9701 JEFFERSON RD, MASCOUTAH, IL 62258-4203
(618) 975-6737
Mailing address
9701 JEFFERSON RD, MASCOUTAH, IL 62258-4203
(618) 975-6737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21887
IL
Other
Enumeration date
03/24/2016
Last updated
07/28/2022
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