Healthcare Provider Details

I. General information

NPI: 1780571026
Provider Name (Legal Business Name): TAYLOR-JOYCE M REED RBT
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: TAYLOR REED RBT

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8487 9TH ST N
ST PETERSBURG FL
33702-3503
US

IV. Provider business mailing address

1340 PINELLAS POINT DR S
ST PETERSBURG FL
33705-6172
US

V. Phone/Fax

Practice location:
  • Phone: 727-318-3224
  • Fax: 727-800-2333
Mailing address:
  • Phone: 239-391-1736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-444919
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: