Individual
LOUIS SCOTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5060 N 19TH AVE STE 415-4, PHOENIX, AZ 85015-3210
(602) 295-9697
Mailing address
137 APPLE TREE CIR, NORTH LITTLE ROCK, AR 72118-1156
(501) 613-8117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CLSG12192
AZ
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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