Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-21-150803 | IN |
NPI | 1003405572 |
---|---|
Provider Name | Lauren Scott |
First Address | Indianapolis, IN 46268-6135 |
Second Address | Greenwood, IN 46143-8838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2021 |
Last Update Date | 11/01/2021 |