Taylor Marie Fowler

NPI #1134885916 in Leesburg, Florida

Provider Information

NPI Number: 1134885916
Entity Type: Individual
Name: Taylor Marie Fowler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 16, 2021
Last Updated: Nov 16, 2021

Practice Location

Address: 1650 W MAIN ST STE 1
City: Leesburg
State: Florida
ZIP Code: 34748-2842
Phone: (352) 314-3760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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