MEDICARE: MR. CHRISTOPHER PAUL TAYLOR JR. CBHCM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	106S00000X	Behavior Technician	FL
2	101YM0800X	Mental Health Counselor
3	1744R1102X	Research Study Specialist
4	101Y00000X	Counselor
5	101YA0400X	Addiction (Substance Use Disorder) Counselor
6	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1043837875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER PAUL TAYLOR JR. CBHCM

Provider Business Mailing Address
First Line	:	1317 EDGEWATER DR UNIT 7045
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6350
Country	:	US
Telephone Number	:	321-465-8668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 EDGEWATER DR UNIT 7045
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6350
Country	:	US
Telephone Number	:	321-465-8668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2020
Last Update Date	:	02/10/2026

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