Taylor Autumn Booth

NPI #1114687050 in New Ulm, Minnesota

Provider Information

NPI Number: 1114687050
Entity Type: Individual
Name: Taylor Autumn Booth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 20, 2021
Last Updated: Dec 20, 2021

Practice Location

Address: 909 CENTER ST
City: New Ulm
State: Minnesota
ZIP Code: 56073-3251
Phone: (507) 766-6218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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