Scott A Ahrendt
Individual provider Active NPI Behavior Technician · Saint Johns, FL
NPI 1700535812 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1700535812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB696433 (FL)
- Practice address
- 738 Shetland Dr
Saint Johns, FL 32259-6644 - Phone
- (401) 595-2372
- NPI assigned
- Mar 23, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB696433 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB696433 | FL | Yes |
Addresses
Primary practice location
738 Shetland Dr
Saint Johns, FL 32259-6644
Mailing address
738 Shetland Dr
Saint Johns, FL 32259-6644
Phone (401) 595-2372
Other providers in Saint Johns, FL
- Achieve Psychiatric Wellness Center LLC
- Acorn Health of Florida, LLC
- Nina Marie Acosta
- Active for Life Rehabilitation, LLC
- Nathan Kent Adams
- Akel Management LLC
- Sarah Majed Ibrahim Al Nimri
- Alison Chilton Alba
- Hadeel Alnshaah
- Mohammed Alsafar
All providers in Saint Johns, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. 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.