Taylor Detherow
Behavior Analyst Behavior Technician Assistant Behavior Analyst
3771 Stefani Rd
Cantonment
, Florida 32533-7795
Taylor Detherow
Behavior Analyst Behavior Technician Assistant Behavior Analyst
3771 Stefani Rd
Cantonment
, Florida 32533-7795
(925) 337-7384
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About
Features
Specialties
- Behavior Analyst
- Assistant Behavior Analyst
- Behavior Technician
Languages spoken
- English
Location
First Address
- Taylor Detherow
- 1007 Pineview Blvd Unit C
- Fort Walton Beach, FL
- Zip : 32547-1499
- Phone : (925) 337-7384
Second Address
- Taylor Detherow
- 3771 Stefani Rd
- Cantonment, FL
- Zip : 32533-7795
- Fax : (850) 607-6932
- Phone : (850) 607-6910
Reviews
FAQs
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What type of doctor is Taylor Detherow
In what state does Taylor Detherow practice in?
Where is Taylor Detherow ’s practice located?
What is Taylor Detherow ’s gender?
Is Taylor Detherow a sole practitioner?
Is Taylor Detherow accepting new patients?
What languages does Taylor Detherow speak?
Does Taylor Detherow accept insurance?
Does Taylor Detherow offers telemedicine?
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What is Taylor Detherow ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-20-45584 | FL |
| N | 106E00000X | Assistant Behavior Analyst | 10190 | FL |
| N | 106S00000X | Behavior Technician | 35476 | FL |
National Provider Identifier
| NPI | 1033626437 |
|---|---|
| Provider Name | Taylor Detherow |
| First Address | Fort Walton Beach, FL 32547-1499 |
| Second Address | Cantonment, FL 32533-7795 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2018 |
| Last Update Date | 01/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.