Individual
CHANTEL SHAWNESE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7375 WOODWARD AVE STE 2800, DETROIT, MI 48202-3157
(313) 710-8744
(855) 568-2494
Mailing address
1478 CRIMSON WAY, WALLED LAKE, MI 48390-2149
(734) 772-5573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
171M00000X
MI
106S00000X
Behavior Technician
—
—
374J00000X
Doula
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
TAXONOMY
MI
Enumeration date
09/05/2018
Last updated
09/15/2025
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