Healthcare Provider Details

I. General information

NPI: 1124949227
Provider Name (Legal Business Name): TAYLOR JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 CROWNPOINT EXECUTIVE DR UNIT J
CHARLOTTE NC
28227-7824
US

IV. Provider business mailing address

4808 STONEY TRACE DR APT E
MINT HILL NC
28227-6098
US

V. Phone/Fax

Practice location:
  • Phone: 615-560-6622
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-467644
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: