Individual
TAYLOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 N RIVER LN STE 2109, GENEVA, IL 60134-2003
(331) 222-7724
Mailing address
1110 VARSITY BLVD APT 209, DEKALB, IL 60115-1549
(630) 697-0224
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/18/2019
Last updated
09/09/2025
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