Healthcare Provider Details

I. General information

NPI: 1811820137
Provider Name (Legal Business Name): KATELYN ELIZABETH SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 KINGS HWY
CHESTER NY
10918-3009
US

IV. Provider business mailing address

12 SEELEY STORMS DR
GLENWOOD NJ
07418-2100
US

V. Phone/Fax

Practice location:
  • Phone: 845-827-5360
  • Fax:
Mailing address:
  • Phone: 973-600-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: