Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-41476 | NC |
NPI | 1003305954 |
---|---|
Provider Name | Taylor Allred |
First Address | Charlotte, NC 28209-1851 |
Second Address | Charlotte, NC 28209-1851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2018 |
Last Update Date | 28/02/2020 |