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NPI Code Detail

MEDICARE: TAYLOR HOLLIER

MEDICARE: TAYLOR HOLLIER
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 : 1740826742
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR HOLLIER
Provider Business Mailing Address
First Line : 177 E COLORADO BLVD STE 2082
Second Line :
City : PASADENA
State : CA
Zip : 91105-1986
Country : US
Telephone Number : 805-915-7466
Fax Number :
Provider Business Practice Location Address
First Line : 177 E COLORADO BLVD STE 2082
Second Line :
City : PASADENA
State : CA
Zip : 91105-1986
Country : US
Telephone Number : 805-915-7466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2019
Last Update Date : 11/25/2019

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Directions to “ TAYLOR HOLLIER ” Practice Location

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