Individual
MR. JIM C. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
24 JOE KENNEDY BLVD STE 13, STATESBORO, GA 30458-3113
(912) 208-2024
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9052
GA
Other
Enumeration date
07/14/2011
Last updated
10/02/2023
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