Healthcare Provider Details

I. General information

NPI: 1790601417
Provider Name (Legal Business Name): SCOTT MCALLISTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 REDSKY DR
CINCINNATI OH
45249-1632
US

IV. Provider business mailing address

7048 PINEMILL DR
WEST CHESTER OH
45069-4626
US

V. Phone/Fax

Practice location:
  • Phone: 513-951-5553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCDCA.193062
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: