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Individual

TAYLOR COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Mailing address
6800 PARAGON PL STE 200, RICHMOND, VA 23230-1652
(804) 562-9997

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003499
VA
103K00000X
Behavior Analyst
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30017890360001
SENTARA
VA
05
30017890360001
VA
Enumeration date
07/20/2020
Last updated
03/20/2026
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