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Allycia D Scott

Behavior Technician in Northbrook, IL. Individual provider (NPI-1).

NPI number1982246609
StatusActive
Last updated in NPPESOct 14, 2019

Details

NPI
1982246609
Entity type
Individual (NPI-1)
Name
Allycia D Scott
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 14, 2019
Last updated
Oct 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5 Revere Dr Ste 120
Northbrook, IL 60062-8005

Phone 847-306-9843

Mailing address

5 Revere Dr Ste 129
Northbrook, IL 60062-1566

Phone 847-306-9843

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