Dustin Scott, HI
Individual provider Active NPI Behavior Technician · Buhl, ID
NPI 1457183196 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1457183196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 217 Clear Lakes Rd
Buhl, ID 83316-1814 - Phone
- (208) 890-0581
- NPI assigned
- Aug 19, 2024
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
217 Clear Lakes Rd
Buhl, ID 83316-1814
Mailing address
217 Clear Lakes Rd
Buhl, ID 83316-1814
Phone (208) 890-0581
Other providers in Buhl, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.