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Individual

MRS. ELIZABETH TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
109 ONEAL CT, ANDALUSIA, AL 36420-3803
(334) 379-1043
Mailing address
181 W REYNOLDS ST, OZARK, AL 36360-1438

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AL

Other

Enumeration date
05/11/2023
Last updated
05/11/2023
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