Individual
CHRISTOPHER EARL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 TIMBERLINE TRCE, SNELLVILLE, GA 30078-6619
(678) 852-5705
Mailing address
1515 TIMBERLINE TRCE, SNELLVILLE, GA 30078-6619
(678) 852-5705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB599799
GA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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