MEDICARE: TAYLOR LAVIN

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1558216523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR LAVIN

Provider Business Mailing Address
First Line	:	7096 SONYA DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 RDU CENTER DR
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-7687
Country	:	US
Telephone Number	:	984-319-4967
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ TAYLOR LAVIN ” Practice Location

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