Healthcare Provider Details

I. General information

NPI: 1184567877
Provider Name (Legal Business Name): SCOTT MICHAEL CURRY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5252 ORANGE AVE STE 109
CYPRESS CA
90630-2967
US

IV. Provider business mailing address

5252 ORANGE AVE STE 109
CYPRESS CA
90630-2967
US

V. Phone/Fax

Practice location:
  • Phone: 657-213-0199
  • Fax:
Mailing address:
  • Phone: 657-213-0199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: