Individual
MR. ANDRE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 KEMPER MEADOW DR, CINCINNATI, OH 45240-4117
(513) 975-2027
(513) 964-9812
Mailing address
955 TENNESSEE AVE APT 1, CINCINNATI, OH 45229-1027
(513) 437-2774
(513) 964-9812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1487008587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487008587
—
OH
Enumeration date
08/06/2018
Last updated
08/06/2018
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