Individual
LAURIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
23990 EUCALYPTUS AVE, MORENO VALLEY, CA 92553-5504
(951) 571-4689
Mailing address
23990 EUCALYPTUS AVE, MORENO VALLEY, CA 92553-5504
(951) 571-4689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC13851
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/05/2022
Last updated
03/10/2026
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