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General NPI Number Information
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NPI Number | 1053072579
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Entity Type | Individual
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Provider Name | TAYLOR WHITNER BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 990 BEAR CREEK BLVD
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City | HAMPTON
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State | GA
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Zip | 30228-1864
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Country | US
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Telephone | 470-878-1177
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Fax | 470-878-2946
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Provider Business Mailing Address
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Address Line | 308 CHRISTIAN CT
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City | HAMPTON
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State | GA
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Zip | 30228-2890
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Country | US
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Telephone | 470-737-5755
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Fax | 470-878-2946
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | I-24-77829
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License Number State |
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