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NPI 1255848875

NPI 1255848875 : TAYLOR R WILLIAMS M.A., BCBA : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1255848875
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOR R WILLIAMS M.A., BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2018
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    Last Update Date     |    10/09/2023
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Provider Practice Location Address
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    Address Line         |    6892 S YOSEMITE CT STE 1-105 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80112-1481
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    Country              |    US
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    Telephone            |    720-746-9254
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6892 S YOSEMITE CT STE 1-105 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80112-1481
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    Country              |    US
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    Telephone            |    323-683-4661
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    Fax                  |    
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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       |    1-17-28069
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    License Number State |    TX
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