Individual
TAYLOR DECESARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S DONAGHEY AVE, CONWAY, AR 72034-6880
(855) 324-0885
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-222912
AR
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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