Tayler Hancock

NPI #1033763503 in Jackson, Wyoming

Provider Information

NPI Number: 1033763503
Entity Type: Individual
Name: Tayler Hancock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 1, 2019
Last Updated: Aug 1, 2019

Practice Location

Address: 310 EAST BROADWAY
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (804) 614-5853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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