Individual
BENJAMIN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
334 BEECHWOOD RD STE 502, FT MITCHELL, KY 41017-1611
(360) 360-3006
Mailing address
334 BEECHWOOD RD, FORT MITCHELL, KY 41017-1611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
270492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270492
—
KY
Enumeration date
06/15/2021
Last updated
06/15/2021
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