Individual
GAVIN KENNETH TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10345 PROFESSIONAL CIR STE 125, RENO, NV 89521-3100
(775) 348-7300
Mailing address
661 UNIVERSITY WAY UNIT 565, RENO, NV 89501-1146
(775) 418-2882
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT5483
NV
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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