MEDICARE: LAURATHERESA CAROLINA SCOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		MN

General Provider Information

NPI Number	:	1497506182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURATHERESA CAROLINA SCOTT

Provider Business Mailing Address
First Line	:	5215 EDINA INDUSTRIAL BLVD
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-2926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 EDINA INDUSTRIAL BLVD
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-2926
Country	:	US
Telephone Number	:	612-594-8405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2024
Last Update Date	:	03/29/2024

Similar Medicare Providers

1679436919 — SIHAM MOHAMUD MOHAMED
Practice Location Address:

5215 EDINA INDUSTRIAL BLVD STE 200
MINNEAPOLIS, MN
55439-2926

Practice Phone: 612-594-8405
Practice Fax:

1972291888 — KELLY WU
Practice Location Address:

5215 EDINA INDUSTRIAL BLVD STE 200
MINNEAPOLIS, MN
55439-2926

Practice Phone: 612-594-8405
Practice Fax:

1518722990 — RUO-JEN WU
Practice Location Address:

5215 EDINA INDUSTRIAL BLVD STE 200
MINNEAPOLIS, MN
55439-2926

Practice Phone: 310-856-0800
Practice Fax:

1558127076 — AUDREY JANE HENLEY
Practice Location Address:

5215 EDINA INDUSTRIAL BLVD STE 200
MINNEAPOLIS, MN
55439-2926

Practice Phone: 612-594-8405
Practice Fax:

1730936360 — ASIA ASHANTI GARBUTT
Practice Location Address:

5215 EDINA INDUSTRIAL BLVD
MINNEAPOLIS, MN
55439-2926

Practice Phone: 612-594-8405
Practice Fax:

1366284879 — MIRANDA RENEE OLSON
Practice Location Address:

5215 EDINA INDUSTRIAL BLVD
MINNEAPOLIS, MN
55439-2926

Practice Phone: 310-856-0800
Practice Fax:

Directions to “ LAURATHERESA CAROLINA SCOTT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.