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NPI Code Detail

MEDICARE: TAYLOR LYNN GROVER

MEDICARE:   TAYLOR LYNN GROVER
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

General Provider Information

NPI Number : 1528916079
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR LYNN GROVER
Provider Business Mailing Address
First Line : 1890 ALEXANDER ST
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84119-2037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1890 ALEXANDER ST.
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84119
Country : US
Telephone Number : 801-844-0103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ TAYLOR LYNN GROVER ” Practice Location

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