Individual
AILIME TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9552 SW 148TH AVENUE CIR E, MIAMI, FL 33196-1686
(305) 200-6636
Mailing address
9552 SW 148TH AVENUE CIR E, MIAMI, FL 33196-1686
(305) 200-6636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-138271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109687300
—
FL
Enumeration date
12/07/2021
Last updated
12/07/2021
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