Provider Demographics
NPI:1366235988
Name:JAMES, ROBERT SCOTT
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:SCOTT
Last Name:JAMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3595 SAGAMORE PKWY N STE 5
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-1095
Mailing Address - Country:US
Mailing Address - Phone:765-337-8689
Mailing Address - Fax:
Practice Address - Street 1:3595 SAGAMORE PKWY N STE 5
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-1095
Practice Address - Country:US
Practice Address - Phone:765-337-8689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst