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NPI Code Detail

MEDICARE: JENNIFER LISA SCOTT

MEDICARE:   JENNIFER LISA 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
1103K00000XBehavior Analyst1-20-44993FL

General Provider Information

NPI Number : 1932716107
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LISA SCOTT
Provider Business Mailing Address
First Line : 13538 VILLAGE PARK DR STE 145
Second Line :
City : ORLANDO
State : FL
Zip : 32837-3600
Country : US
Telephone Number : 407-730-2948
Fax Number : 407-250-4833
Provider Business Practice Location Address
First Line : 13538 VILLAGE PARK DR STE 145
Second Line :
City : ORLANDO
State : FL
Zip : 32837-3600
Country : US
Telephone Number : 407-730-2948
Fax Number : 407-250-4833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2020
Last Update Date : 09/30/2020

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Directions to “ JENNIFER LISA SCOTT ” Practice Location

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