Individual
ANDAYSHA RENEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
465 WINN WAY # 130140, DECATUR, GA 30030-1753
(888) 509-6368
Mailing address
465 WINN WAY, DECATUR, GA 30030-1753
(888) 509-6368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-148375
GA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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