Individual
DR. BRIDGET TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA-D
Contact information
Practice address
1115 14TH ST, MODESTO, CA 95354-1003
(209) 572-2589
(209) 572-1461
Mailing address
160 E WILLOW TREE RD, SPRING VALLEY, NY 10977-1019
(914) 329-3049
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000920-1
NY
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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