Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | MD | |
Y | 106S00000X | Behavior Technician |
NPI | 1003441965 |
---|---|
Provider Name | Yanique A Taylor |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Arnold, MD 21012-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2020 |
Last Update Date | 15/10/2020 |