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NPI Code Detail

MEDICARE: TAYLOR NICHOLE DINKINS

MEDICARE: TAYLOR NICHOLE DINKINS
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

General Provider Information

NPI Number : 1366273799
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR NICHOLE DINKINS
Provider Business Mailing Address
First Line : 102 POP JOHNSON DR APT 408
Second Line :
City : ORLANDO
State : FL
Zip : 32810-4161
Country : US
Telephone Number : 706-588-6622
Fax Number :
Provider Business Practice Location Address
First Line : 1771 E FLAMINGO RD STE 220A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0850
Country : US
Telephone Number : 407-618-0493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/08/2024

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Directions to “ TAYLOR NICHOLE DINKINS ” Practice Location

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