Individual
MICHELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 W PECAN RD, PHOENIX, AZ 85041-4640
(602) 688-5427
(602) 688-5427
Mailing address
1625 W PECAN RD, PHOENIX, AZ 85041-4640
(602) 737-7111
(602) 688-5427
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4915257
AZ
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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