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General NPI Number Information
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NPI Number | 1477475911
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Entity Type | Individual
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Provider Name | DEYONNA DEANNINE TAYLOR BEHAVIOR ANALYST
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 7040 LAKELAND AVE N STE 110B
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City | BROOKLYN PARK
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State | MN
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Zip | 55428-5615
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Country | US
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Telephone | 763-442-7353
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Fax |
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Provider Business Mailing Address
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Address Line | 8040 PERRY AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-2421
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Country | US
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Telephone | 612-210-2195
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Fax | 763-441-1308
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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 |
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License Number State | MN
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