Individual
ROBERT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 EASTLAKE AVE, MASSAPEQUA PARK, NY 11762-1836
(516) 640-0798
Mailing address
26 LOWELL DR, FARMINGDALE, NY 11735-3107
(989) 763-3117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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