Individual
TAYLOR KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BUTTERFLY EFFECTS, 2612 METAIRIE RD, LA 70001
(504) 641-4283
Mailing address
4391 MAPLE LEAF DR, NEW ORLEANS, LA 70131-7454
(504) 715-5530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012401560
ID
LA
Enumeration date
07/06/2022
Last updated
07/06/2022
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