Healthcare Provider Details

I. General information

NPI: 1558047530
Provider Name (Legal Business Name): TAYLOR NICHOLE MEEK BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 ROCK PRAIRIE RD
COLLEGE STATION TX
77845-5917
US

IV. Provider business mailing address

852 N HARVEY MITCHELL PKWY APT 835
BRYAN TX
77807-1023
US

V. Phone/Fax

Practice location:
  • Phone: 346-629-8767
  • Fax:
Mailing address:
  • Phone: 832-579-8672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBHV-010962
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: