Healthcare Provider Details

I. General information

NPI: 1285570523
Provider Name (Legal Business Name): SCARLETT LAURENCE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 BELTLINE RD SW STE B
DECATUR AL
35601-5621
US

IV. Provider business mailing address

1690 BELTLINE RD SW STE B
DECATUR AL
35601-5621
US

V. Phone/Fax

Practice location:
  • Phone: 800-607-1947
  • Fax: 800-607-1947
Mailing address:
  • Phone: 800-607-1947
  • Fax: 800-607-1947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: