Individual
DORETHA RAE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 JOHNSON FERRY RD, MARIETTA, GA 30068-4945
(470) 648-0510
Mailing address
300 INTERNATIONAL PKWY STE 300, LAKE MARY, FL 32746-5000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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