Healthcare Provider Details

I. General information

NPI: 1578473468
Provider Name (Legal Business Name): BRIAHNA DANIELLE TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 WILDWOOD LN
PALM COAST FL
32137-3221
US

IV. Provider business mailing address

546 WILBURTON DR
DELTONA FL
32738-9484
US

V. Phone/Fax

Practice location:
  • Phone: 386-251-3350
  • Fax: 866-247-1790
Mailing address:
  • Phone: 386-507-4993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2849480
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: