Individual
DUSTIN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HI
Contact information
Practice address
217 CLEAR LAKES RD, BUHL, ID 83316-1814
(208) 890-0581
Mailing address
217 CLEAR LAKES RD, BUHL, ID 83316-1814
(208) 890-0581
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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