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NPI Code Detail

MEDICARE: CYDNEE TAYLOR

MEDICARE: CYDNEE 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

General Provider Information

NPI Number : 1912409350
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYDNEE TAYLOR
Provider Business Mailing Address
First Line : 795 FOLSOM ST FL 1
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94107-4226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5554 RESEDA BLVD STE 203
Second Line :
City : TARZANA
State : CA
Zip : 91356-6212
Country : US
Telephone Number : 818-705-5522
Fax Number : 888-882-7527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 04/24/2023

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Directions to “ CYDNEE TAYLOR ” Practice Location

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