Organization
STACY TAYLOR, INC.
Active
Other names
Advance Behavior & Learning
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY LOREN TAYLOR MA, B.C.B.A. (PRESIDENT/CLINICAL DIRECTOR)
(407) 375-8176
Entity
Organization
Contact information
Practice address
2695 CYPRESS HEAD TRL, OVIEDO, FL 32765-7381
(407) 375-8176
(888) 277-8904
Mailing address
PO BOX 623777, OVIEDO, FL 32762-3777
(407) 375-8176
(888) 277-8904
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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