Individual
LILLIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1531 HIGHWAY 4 W, RIPLEY, MS 38663-9678
(662) 587-2809
Mailing address
1531 HIGHWAY 4 W, RIPLEY, MS 38663-9678
(662) 587-2809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
190070
MS
Other
Enumeration date
02/14/2019
Last updated
01/06/2023
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