Individual
ALFRED TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 DELTONA BLVD, DELTONA, FL 32725-8017
(904) 878-8683
(386) 200-5752
Mailing address
537 DELTONA BLVD, DELTONA, FL 32725-8017
(904) 878-8683
(386) 200-5752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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