Individual
KAYLEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HIGHWAY 255, LAVACA, AR 72941-7313
(479) 353-4894
Mailing address
201 HIGHWAY 255, LAVACA, AR 72941-7313
(479) 353-4894
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274324706
—
AR
Enumeration date
10/29/2021
Last updated
10/29/2021
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