Individual
TAYLOR DAVID THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
249 E TABERNACLE ST, SAINT GEORGE, UT 84770-2978
(435) 705-7574
Mailing address
249 E TABERNACLE ST, SAINT GEORGE, UT 84770-2978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000617
AZ
Other
Enumeration date
01/21/2021
Last updated
05/06/2022
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