Individual
KOURI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1989 N 63RD ST, PHILADELPHIA, PA 19151-2693
(484) 326-0251
Mailing address
935 N 50TH ST, PHILADELPHIA, PA 19131-5101
(267) 356-1790
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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