Perez, Scott Mark

Perez, Scott Mark is an individual health care provider with primary practice located at 3306 Lake Heights Dr , Waco TX 76708-1543. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Perez, Scott Mark can be contacted via phone (830) 660-4775.

Contact Information

Primary practice address
3306 Lake Heights Dr Waco TX 76708-1543
Phone: (830) 660-4775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-17391

Profile Details

NPI number 1891216396
LBN Legal business name Perez, Scott Mark
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Jul 5th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891216396 NPPES
Other 1-14-17391 BEHAVIOR ANALYST

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