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Individual

BLAKE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3611 SOCIALVILLE FOSTER RD STE 101, MASON, OH 45040-7353
(513) 332-5779
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79094
OH
106S00000X
Behavior Technician

Other

Enumeration date
07/02/2018
Last updated
07/21/2026
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