Individual
SCOTT LUIS DELLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 FORT WASHINGTON AVE APT 5D, NEW YORK, NY 10040-3908
(347) 982-5445
Mailing address
660 FORT WASHINGTON AVE APT 5D, NEW YORK, NY 10040-3908
(347) 982-5445
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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