Individual
KELLY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3820 FABER PLACE DR STE 600, NORTH CHARLESTON, SC 29405-8548
(843) 352-7049
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54515
—
Other
Enumeration date
11/17/2015
Last updated
12/03/2024
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