Individual
BLAKE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5180 CEDAR VILLAGE DR, MASON, OH 45040-3701
(513) 399-8947
Mailing address
5180 CEDAR VILLAGE DR, MASON, OH 45040-3701
(248) 880-5911
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
02/04/2025
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