Individual
MRS. NICOLE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
405 TILLINGHAM CT, JOHNS CREEK, GA 30022-2607
(914) 806-7702
Mailing address
405 TILLINGHAM CT, JOHNS CREEK, GA 30022-2607
(914) 806-7702
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22039
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/11/2017
Last updated
04/11/2022
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