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NPI Code Detail

MEDICARE: TAYLOR RENEE LUHR MABA, BCBA

MEDICARE: TAYLOR RENEE LUHR MABA, 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-22-61001

General Provider Information

NPI Number : 1356815161
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR RENEE LUHR MABA, BCBA
Provider Business Mailing Address
First Line : 8154 MILL CREEK CIR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-1651
Country : US
Telephone Number : 224-637-0028
Fax Number :
Provider Business Practice Location Address
First Line : 5522 TAYLOR MILL RD
Second Line :
City : TAYLOR MILL
State : KY
Zip : 41015-4604
Country : US
Telephone Number : 855-444-5664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 02/11/2024

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