Healthcare Provider Details

I. General information

NPI: 1174194443
Provider Name (Legal Business Name): TAYLOR GRIFFIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W CORBIN ST STE 204
HILLSBOROUGH NC
27278-2192
US

IV. Provider business mailing address

105 W CORBIN ST STE 204
HILLSBOROUGH NC
27278-2192
US

V. Phone/Fax

Practice location:
  • Phone: 919-742-0919
  • Fax:
Mailing address:
  • Phone: 919-742-0919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number3454
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberA2564
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number11881
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: