Healthcare Provider Details

I. General information

NPI: 1699177402
Provider Name (Legal Business Name): AARON MICHAEL TAYLOR BCABA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 JEFFERSON ST NE STE B
ALBUQUERQUE NM
87113-1734
US

IV. Provider business mailing address

5014 CORDONIZ ST NW
ALBUQUERQUE NM
87120-2051
US

V. Phone/Fax

Practice location:
  • Phone: 877-789-9659
  • Fax:
Mailing address:
  • Phone: 505-452-6515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: