Individual
CASSANDRA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N 30TH ST, PADUCAH, KY 42001-4047
(270) 444-7898
Mailing address
462 GOLDEN MEADOW LN, LEDBETTER, KY 42058-9745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-329797
KY
Other
Enumeration date
02/28/2024
Last updated
04/05/2024
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