Individual
TRACY LYNN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
673 PRESTIGE BLVD, FAYETTEVILLE, NC 28314
(910) 987-8086
Mailing address
920 CAMBRIDGE ST, FAYETTEVILLE, NC 28303-5300
(910) 493-3555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/25/2017
Last updated
10/28/2021
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