Dominque Desaquan Taylor

NPI #1366950636 in Merritt Island, Florida

Provider Information

NPI Number: 1366950636
Entity Type: Individual
Name: Dominque Desaquan Taylor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 19, 2018
Last Updated: Jan 19, 2018

Practice Location

Address: 1680 E CENTRAL AVE
City: Merritt Island
State: Florida
ZIP Code: 32952-5675
Phone: (904) 333-3059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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