Randall, Scott J

Randall, Scott J is an sole proprietor health care provider with primary practice located at 302 W Main St , Fairborn OH 45324-5037. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Randall, Scott J can be contacted via phone (937) 281-4673.

Contact Information

Primary practice address
302 W Main St Fairborn OH 45324-5037
Phone: (937) 281-4673
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.186191 Ohio

Profile Details

NPI number 1982298675
LBN Legal business name Randall, Scott J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2021
Last updated Dec 16th, 2024 - about 2 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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