Individual
ANNALISA MARIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PRISON RD, REPRESA, CA 95671-1741
(916) 294-3061
Mailing address
5275 N SAN PABLO AVE APT 103, FRESNO, CA 93704-2712
(916) 990-7759
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
03/29/2025
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