Individual
TAYLOR MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
(952) 767-2267
Mailing address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
(952) 767-2267
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66146
—
106S00000X
Behavior Technician
RBT-21-169712
WI
Other
Enumeration date
07/02/2021
Last updated
09/05/2023
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