DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TAYLOR MICHELLE LONG MED, BCBA, LBA

MEDICARE: TAYLOR MICHELLE LONG MED, BCBA, LBA
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 Analyst
2103K00000XBehavior Analyst1-20-45592CA
3103K00000XBehavior Analyst271557KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-20-45592OTHERBCBA CERTIFICATE

General Provider Information

NPI Number : 1841701406
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR MICHELLE LONG MED, BCBA, LBA
Provider Business Mailing Address
First Line : 109 WIND HAVEN DR STE 100
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-8010
Country : US
Telephone Number : 859-224-2273
Fax Number : 859-224-4675
Provider Business Practice Location Address
First Line : 117 E JEFFERSON ST
Second Line :
City : GEORGETOWN
State : KY
Zip : 40324-1764
Country : US
Telephone Number : 859-224-2273
Fax Number : 859-224-4675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2017
Last Update Date : 11/20/2023

Similar Medicare Providers

1427987908 — TAYLOR DIAMOND
Practice Location Address:
117 E JEFFERSON ST
GEORGETOWN, KY
40324-1764
Practice Phone: 859-224-2273
Practice Fax: 859-224-4675
1528858628 — EMILY ANNE SNELLEN MS, CCC-SLP
Practice Location Address:
117 E JEFFERSON ST
GEORGETOWN, KY
40324-1764
Practice Phone: 502-316-6180
Practice Fax:
1023537941 — HANNAH DUMAIS
Practice Location Address:
117 E JEFFERSON ST
GEORGETOWN, KY
40324-1764
Practice Phone: 859-224-2273
Practice Fax: 859-224-4675
1316432560 — CHELSEA ELAINE DALTON MS, OTR/L
Practice Location Address:
117 E JEFFERSON ST
GEORGETOWN, KY
40324-1764
Practice Phone: 859-224-2273
Practice Fax: 859-224-4675
1306400791 — JOHNATHAN DAVID ARTHUR LBA
Practice Location Address:
117 E JEFFERSON ST
GEORGETOWN, KY
40324-1764
Practice Phone: 859-224-2273
Practice Fax: 859-224-4675
1114697620 — MRS. MELYSSA HILL
Practice Location Address:
117 E JEFFERSON ST
GEORGETOWN, KY
40324-1764
Practice Phone: 859-224-2273
Practice Fax: 859-224-4675

Directions to “ TAYLOR MICHELLE LONG MED, BCBA, LBA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.