Individual
JEANNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13975 RIVERSIDE CT, LIVONIA, MI 48154-5352
(734) 386-6734
Mailing address
13975 RIVERSIDE CT, LIVONIA, MI 48154-5352
(734) 386-6734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247200000
TECHNICIAN
MI
Enumeration date
03/04/2015
Last updated
03/04/2015
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