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NPI Code Detail

MEDICARE: KOURTNEY TAYLOR

MEDICARE: KOURTNEY TAYLOR
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
1103K00000XBehavior Analyst1-25-80460FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194474510
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOURTNEY TAYLOR
Provider Business Mailing Address
First Line : 6421 N FLORIDA AVE STE D-1458
Second Line :
City : TAMPA
State : FL
Zip : 33604-6007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1202 TECH BLVD STE 103
Second Line :
City : TAMPA
State : FL
Zip : 33619-7863
Country : US
Telephone Number : 813-547-5413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 12/11/2025

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Directions to “ KOURTNEY TAYLOR ” Practice Location

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