Taylor Rene Licare

NPI #1013615459 in Plano, Texas

Provider Information

NPI Number: 1013615459
Entity Type: Individual
Name: Taylor Rene Licare
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 15, 2023
Last Updated: Feb 15, 2023

Practice Location

Address: 7160 PRESTON RD STE 200
City: Plano
State: Texas
ZIP Code: 75024-3283
Phone: (855) 782-7822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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