Tommy Earl Taylor, ASSISTANT

NPI #1639947500 in La Grange, Texas

Provider Information

NPI Number: 1639947500
Entity Type: Individual
Name: Tommy Earl Taylor, ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: ASSISTANT
Enumeration Date: Dec 19, 2023
Last Updated: Dec 19, 2023

Practice Location

Address: 733 NORTH JACKSON STREET
City: La Grange
State: Texas
ZIP Code: 78945
Phone: (979) 203-1326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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