Allison Scully

Individual provider Active NPI Early Intervention Provider Agency · Buckner, MO

NPI 1265288807 · NPPES record last updated Apr 25, 2024

Key facts

NPI
1265288807
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Practice address
36509 E Borgman Rd
Buckner, MO 64016-8149
Phone
(816) 522-2149
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

36509 E Borgman Rd
Buckner, MO 64016-8149

Mailing address

36509 E Borgman Rd
Buckner, MO 64016-8149
Phone (816) 522-2149

Other providers in Buckner, MO

All providers in Buckner, MO · Early Intervention Provider Agency in Missouri

Sources for this page

Verify at the official NPI Registry.