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Individual

TAYLOR BURRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
9800 KINCEY AVE STE 160, HUNTERSVILLE, NC 28078-8402
(980) 785-1113
Mailing address
18441 STREAMLINE CT, CORNELIUS, NC 28031-8129

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40030
NC
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024932600
FL
Enumeration date
06/05/2018
Last updated
01/13/2020
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