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Individual

LORI TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
6040 I-55 NORTH FRONTAGE RD, JACKSON, MS 39211
(601) 812-8368
Mailing address
4588 PARKER LN, BAILEY, MS 39320-8223
(601) 513-4494

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
320011T
MS

Other

Enumeration date
12/28/2021
Last updated
12/28/2021
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