Individual
MISS THERESA E TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACB
Contact information
Practice address
191 BARRE PAXTON RD, RUTLAND, MA 01543-1239
(508) 321-3060
Mailing address
21 CHARNOCK HILL RD, RUTLAND, MA 01543-1111
(508) 887-1652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1062795
MA
103K00000X
Behavior Analyst
Primary
848
MA
Other
Enumeration date
11/27/2006
Last updated
04/21/2018
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