Individual
COREY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
106 FACULTY ST, BLACKSBURG, VA 24060-7316
(980) 785-1113
(980) 785-1114
Mailing address
3013 LANCASTER DR, BLACKSBURG, VA 24060-8181
(703) 732-8254
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000804
VA
103K00000X
Behavior Analyst
0134000068
VA
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133000804
LICENSED BEHAVIOR ANALYST
VA
01
—
1-16-22719
BCBA
—
05
—
1825
—
VA
Enumeration date
11/12/2015
Last updated
02/23/2022
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