Individual
LAURA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-7570
(614) 355-7580
Mailing address
DEPT 781625, BOX 78000, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
10/09/2019
Last updated
10/09/2019
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