Individual
SHAWNTEA N SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 LEATHERDALE RD, IVA, SC 29655-9170
(404) 487-6005
Mailing address
426 LEATHERDALE RD, IVA, SC 29655-9170
(404) 487-6005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25424670
SC
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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