Provider Demographics
NPI:1881381416
Name:JEAN-LOUIS, SCARLETT
Entity type:Individual
Prefix:
First Name:SCARLETT
Middle Name:
Last Name:JEAN-LOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PLEASANT ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2611
Mailing Address - Country:US
Mailing Address - Phone:774-219-9615
Mailing Address - Fax:
Practice Address - Street 1:25 PLEASANT ST UNIT B
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2611
Practice Address - Country:US
Practice Address - Phone:774-219-9615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician