Most Relevant Information
Provider Data
| NPI Number: | 1003365479 |
| Provider Name: | CAMERON MONTGOMERY SCALLAN M.A., BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/27/2016 |
| Last Updated: | 09/27/2016 |
Provider Practice Location
13604 MIDWAY RD
SKILL SPROUT
FARMERS BRANCH
TX
752444305
Practice Location Phone/Fax
| Phone: | 4692655720 |
| Fax: |
Provider Mailing Location
13604 MIDWAY RD
SKILL SPROUT
FARMERS BRANCH
TX
752444305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |