Individual
ALLYCE NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
1447 W MONTROSE AVE, CHICAGO, IL 60613-1348
(312) 624-8750
Mailing address
N59W24070 CLOVER DR APT 142, SUSSEX, WI 53089-3788
(414) 213-2094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34725
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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