Individual
TAYLOR BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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