Most Relevant Information
Provider Data
| NPI Number: | 1003231127 |
| Provider Name: | SCOTT WIGGINS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2014 |
| Last Updated: | 03/19/2015 |
Provider Practice Location
151 CARLYLE E
APARTMENT F
BELLEVILLE
IL
622214543
Practice Location Phone/Fax
| Phone: | 2017411635 |
| Fax: |
Provider Mailing Location
151 CARLYLE E
APARTMENT F
BELLEVILLE
IL
622214543
Provider Mailing Phone/Fax
| Phone: | 2017411635 |
| Fax: |