Elijah Gabriel Scott

NPI #1417634551 in Travelers Rest, South Carolina

Provider Information

NPI Number: 1417634551
Entity Type: Individual
Name: Elijah Gabriel Scott
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 30, 2023
Last Updated: Jun 30, 2023

Practice Location

Address: 16 FOX CREEK CT
City: Travelers Rest
State: South Carolina
ZIP Code: 29690-9343
Phone: (830) 660-8808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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