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NPI 1558022566

NPI 1558022566 : TAYLOUR CENTEIO : LAKE PARK, FL

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General NPI Number Information
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    NPI Number           |    1558022566
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOUR CENTEIO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/03/2022
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    Last Update Date     |    10/28/2025
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Provider Practice Location Address
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    Address Line         |    501 N FEDERAL HWY 
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    City                 |    LAKE PARK
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    State                |    FL
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    Zip                  |    33403-3557
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    Country              |    US
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    Telephone            |    561-284-6680
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5132 2ND RD 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33467-5616
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    Country              |    US
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    Telephone            |    561-685-4971
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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