Individual
TAYLOR EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 EASTPOINT PARK BLVD, LOUISVILLE, KY 40223-4164
(502) 253-1293
Mailing address
5011 WOODRIDGE LAKE BLVD, LOUISVILLE, KY 40272-5318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-160797
KY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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