Healthcare Provider Details

I. General information

NPI: 1891265237
Provider Name (Legal Business Name): HANNAH SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 WEST ST UNIT B
BRISTOL VT
05443-1227
US

IV. Provider business mailing address

168 AMES DR STE 5
BARRE VT
05641-2373
US

V. Phone/Fax

Practice location:
  • Phone: 424-652-6664
  • Fax:
Mailing address:
  • Phone: 424-652-6664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-45418
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: