Individual
DARA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 APRICOT ST, STAFFORD, VA 22554-2555
(540) 623-4127
Mailing address
538 APRICOT ST, STAFFORD, VA 22554-2555
(540) 623-4127
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-65075
BACB
—
Enumeration date
04/04/2019
Last updated
04/04/2019
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