Healthcare Provider Details

I. General information

NPI: 1841850054
Provider Name (Legal Business Name): ALLYCE NICOLE TAYLOR M.A., BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 INVENTA PL STE 200W
SILVER SPRING MD
20910-5171
US

IV. Provider business mailing address

1815 BILTMORE ST NW # A
WASHINGTON DC
20009-1903
US

V. Phone/Fax

Practice location:
  • Phone: 240-502-3024
  • Fax:
Mailing address:
  • Phone: 414-213-2094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLB919
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-34725
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: