Individual
JUSTIN GREGORY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 HAMPTON RD, HAMDEN, CT 06518-3113
(203) 722-9920
(651) 855-5176
Mailing address
49 HAMPTON RD, HAMDEN, CT 06518-3113
(203) 722-9920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-33290
BACB
—
Enumeration date
12/26/2018
Last updated
12/13/2023
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