Individual
SCOTT GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3641 I ST SE APT B, AUBURN, WA 98002-7930
(253) 363-1061
Mailing address
3641 I ST SE APT B, AUBURN, WA 98002-7930
(253) 363-1061
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
06/02/2015
Last updated
06/02/2015
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