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NPI Code Detail

MEDICARE: TAYLOR LYON BCBA

MEDICARE:   TAYLOR  LYON  BCBA
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 Analyst

General Provider Information

NPI Number : 1336099001
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR LYON BCBA
Provider Business Mailing Address
First Line : 11560 GREAT OAKS WAY STE 300
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2453
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11560 GREAT OAKS WAY STE 300
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2453
Country : US
Telephone Number : 404-474-0040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ TAYLOR LYON BCBA” Practice Location

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