Individual
CHARLES TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
196 BROYLES RD, SPRING CITY, TN 37381-5406
(423) 508-2374
Mailing address
196 BROYLES RD, SPRING CITY, TN 37381-5406
(423) 508-2374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
357
TN
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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