Individual
TAYLOR TINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
(334) 792-5020
Mailing address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023-114
AL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-68368
1-23-68368
AL
01
—
20-112119
20-112119
AL
Enumeration date
07/30/2020
Last updated
09/28/2023
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