Individual
AUTUMN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 N BEND RD STE 209, CINCINNATI, OH 45239-7611
(513) 833-3604
Mailing address
1715 GWYNN OAK AVE, GWYNN OAK, MD 21207-5280
(443) 314-8564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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