Healthcare Provider Details

I. General information

NPI: 1437078359
Provider Name (Legal Business Name): KARIS TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8110 ROYAL PALM BLVD STE 110
CORAL SPRINGS FL
33065-5742
US

IV. Provider business mailing address

5600 CELEBRATION POINT WAY
MARGATE FL
33063-3992
US

V. Phone/Fax

Practice location:
  • Phone: 561-494-4499
  • Fax:
Mailing address:
  • Phone: 510-560-1043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberT638-115-55-100-0
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: