Individual
BRIAN LANE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QASP
Contact information
Practice address
3106 S W S YOUNG DR STE 105, KILLEEN, TX 76542
(325) 450-5042
Mailing address
3106 S W S YOUNG DR STE 105, KILLEEN, TX 76542-2007
(325) 450-5042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30819
—
106E00000X
Assistant Behavior Analyst
8736
TX
Other
Enumeration date
10/24/2017
Last updated
06/26/2018
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