Individual
DR. TERESA HERRERO TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD BCBA-D
Contact information
Practice address
11284 THURSTON CHASE, FORT MYERS, FL 33913-9366
(609) 721-1428
Mailing address
11284 THURSTON CHASE, FORT MYERS, FL 33913-9366
(609) 721-1428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-08-4755
—
103T00000X
Psychologist
35SI00517200
NJ
103T00000X
Psychologist
Primary
PY6890
FL
103T00000X
Psychologist
—
—
Other
Enumeration date
08/16/2011
Last updated
12/13/2024
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