Individual
AMIJA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SHONEY DR SW, HUNTSVILLE, AL 35801-5436
(256) 692-9262
Mailing address
2113 LAVERNE DR NW, HUNTSVILLE, AL 35810-4237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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