Individual
MR. SCOTT JEFFREY EISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
108 N FRONT ST, NEW BEDFORD, MA 02740-7327
(774) 626-1000
Mailing address
71 CHURCH ST, BRISTOL, RI 02809-2223
(774) 644-5138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
03/19/2015
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