Individual
MR. CHRISTOPHER JAMES TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
308 GREENVILLE BLVD SE STE B1, GREENVILLE, NC 27858-5758
(252) 341-4192
Mailing address
1208 WINDROSE DR, FUQUAY VARINA, NC 27526-5717
(919) 280-7854
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30713
NC
Other
Enumeration date
07/12/2018
Last updated
01/03/2019
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