Individual
ZACHARY EDWARD TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
419 W STONEGATE RD, PEORIA, IL 61614-6036
(309) 645-3791
Mailing address
419 W STONEGATE RD, PEORIA, IL 61614-6036
(309) 645-3791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57073
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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