Individual
ADDISON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 N CHURCH ST STE 204, LAYTON, UT 84040-6616
(801) 935-4171
Mailing address
16255 VENTURA BLVD STE 830, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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