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NPI Code Detail

MEDICARE: MRS. TAYLER ANKENMAN

MEDICARE: MRS. TAYLER ANKENMAN
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA
2103K00000XBehavior Analyst1-25-83541CA

General Provider Information

NPI Number : 1104559673
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAYLER ANKENMAN
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 7339 N 1ST ST
Second Line :
City : FRESNO
State : CA
Zip : 93720-2954
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2022
Last Update Date : 06/02/2026

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Directions to “ MRS. TAYLER ANKENMAN ” Practice Location

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