Individual
MICHELLE B SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC
Contact information
Practice address
3407 SHAMROCK CT, GAUTIER, MS 39553-6429
(228) 497-0690
(228) 497-1363
Mailing address
215 S WOODLAND BLVD, DELAND, FL 32720-5401
(386) 795-5695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
12/08/2010
Last updated
05/01/2024
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