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NPI Code Detail

MEDICARE: MS. TAYLOUR LEAH MUSTO BCBA

MEDICARE: MS. TAYLOUR LEAH MUSTO 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
1103K00000XBehavior AnalystBCBA12044292FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821340316
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAYLOUR LEAH MUSTO BCBA
Provider Business Mailing Address
First Line : 9815 CROSS PINE COURT
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467
Country : US
Telephone Number : 561-223-8076
Fax Number : 561-584-5372
Provider Business Practice Location Address
First Line : 9815 CROSS PINE CT
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-2367
Country : US
Telephone Number : 561-223-8076
Fax Number : 561-584-5372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2012
Last Update Date : 01/11/2022

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