Individual
MATTHEW TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA, LBA-V
Contact information
Practice address
2424 MAGNOLIA AVE, BUENA VISTA, VA 24416-3026
(540) 462-2914
Mailing address
101 VILLAGE DR APT 101, STAUNTON, VA 24401-5092
(919) 880-7220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001035
VA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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