Provider Demographics
NPI:1952469637
Name:BARBARA JEAN SCOTT
Entity Type:Organization
Organization Name:BARBARA JEAN SCOTT
Other - Org Name:DESTRUCTIVE BEHAVIORAL ALTERNATIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:CADC III
Authorized Official - Phone:620-225-4600
Mailing Address - Street 1:106 W FRONTVIEW ST
Mailing Address - Street 2:STE 6
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-2200
Mailing Address - Country:US
Mailing Address - Phone:620-225-4600
Mailing Address - Fax:620-225-4646
Practice Address - Street 1:106 W FRONTVIEW ST
Practice Address - Street 2:STE 6
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-2200
Practice Address - Country:US
Practice Address - Phone:620-225-4600
Practice Address - Fax:620-225-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS513251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100397550-AMedicaid
KS116039Other1