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NPI Code Detail

MEDICARE: TAYLOR CHRISTENSEN

MEDICARE: TAYLOR CHRISTENSEN
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 Analyst1-19-37659MI
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1366982696
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR CHRISTENSEN
Provider Business Mailing Address
First Line : 222 E ELEVENTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-3212
Country : US
Telephone Number : 231-268-0007
Fax Number :
Provider Business Practice Location Address
First Line : 10781 E CHERRY BEND RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-5249
Country : US
Telephone Number : 231-268-0007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2017
Last Update Date : 02/04/2026

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Directions to “ TAYLOR CHRISTENSEN ” Practice Location

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