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NPI Code Detail

MEDICARE: SKYE TAYLOR

MEDICARE: SKYE TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1245084524
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYE TAYLOR
Provider Business Mailing Address
First Line : 449 BEN HUR RD APT 5312
Second Line :
City : BATON ROUGE
State : LA
Zip : 70820-4141
Country : US
Telephone Number : 225-449-1066
Fax Number :
Provider Business Practice Location Address
First Line : 11607 SOUTHFORK AVE APT 5312
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-5220
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 05/02/2024

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Directions to “ SKYE TAYLOR ” Practice Location

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