Bremen Taylor Whitlock

NPI #1477022804 in Cheyenne, Wyoming

Provider Information

NPI Number: 1477022804
Entity Type: Individual
Name: Bremen Taylor Whitlock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 14, 2018
Last Updated: May 28, 2019

Practice Location

Address: 3120 OLD FAITHFUL RD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-5865
Phone: (307) 369-1410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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