Healthcare Provider Details

I. General information

NPI: 1376767269
Provider Name (Legal Business Name): SCOTT ALAN KRIEGER M.A., BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 RIVERFRONT TRL
JUDSONIA AR
72081-9337
US

IV. Provider business mailing address

115 RIVERFRONT TRL
JUDSONIA AR
72081-9337
US

V. Phone/Fax

Practice location:
  • Phone: 808-280-3311
  • Fax:
Mailing address:
  • Phone: 808-280-3311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number275
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: