Individual
BERTHA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5945 PACIFIC CENTER BLVD STE 510, SAN DIEGO, CA 92121-6305
(210) 393-5743
Mailing address
12865 POWAY OAKS DR, POWAY, CA 92064-6054
(210) 393-5743
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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