Individual
TAYLOR BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3121 N OAK STREET EXT, VALDOSTA, GA 31602-1099
(800) 832-9419
Mailing address
3121 N OAK STREET EXT, VALDOSTA, GA 31602-1099
(800) 832-9419
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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