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NPI Code Detail

MEDICARE: SABRINA TAYLOR MA, BCBA

MEDICARE:   SABRINA  TAYLOR  MA, BCBA
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 TechnicianFL
2103K00000XBehavior AnalystFL

General Provider Information

NPI Number : 1598378887
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA TAYLOR MA, BCBA
Provider Business Mailing Address
First Line : 500 FAIRWAY DR STE 102
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1817
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 10004 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33618-4494
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 08/05/2024

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