Individual
TAYLOR DANIELLE BRANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BEAVERSON BLVD STE 11, BRICK, NJ 08723-7869
(866) 557-8669
Mailing address
364A BRICK BLVD, BRICK, NJ 08723-6058
(732) 664-1713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-265378
NM
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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