Healthcare Provider Details

I. General information

NPI: 1851155329
Provider Name (Legal Business Name): KAITLIN ARIANNA TAYLOR M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 AIRPORT RD
PANAMA CITY FL
32405-3527
US

IV. Provider business mailing address

4750 COLLEGIATE DR
PANAMA CITY FL
32405-1000
US

V. Phone/Fax

Practice location:
  • Phone: 850-215-6770
  • Fax: 850-665-0123
Mailing address:
  • Phone: 850-770-2241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: