Individual
ANTONIO NELTON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
505 OBERLIN RD, RALEIGH, NC 27605-1327
(919) 743-0204
Mailing address
505 OBERLIN RD, RALEIGH, NC 27605-1327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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