Individual
TAYLOR NICOLE STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
13615 N 35TH AVE STE 11, PHOENIX, AZ 85029-1243
(602) 240-3073
Mailing address
13615 N 35TH AVE STE 11, PHOENIX, AZ 85029-1243
(602) 240-3073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AZ
106S00000X
Behavior Technician
—
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/01/2018
Last updated
01/27/2026
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