Individual
TAVIA SHAWNELE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 E PUTNAM AVE STE 2, OLD GREENWICH, CT 06870-1377
(203) 622-8600
Mailing address
1445 E PUTNAM AVE STE 2, OLD GREENWICH, CT 06870-1377
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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