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NPI Code Detail

MEDICARE: TAYLOR ROANE BCBA, LBA

MEDICARE: TAYLOR ROANE 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 Analyst1-13-14231

General Provider Information

NPI Number : 1891124590
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ROANE BCBA, LBA
Provider Business Mailing Address
First Line : 5700 CITRUS BLVD STE A1
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70123-8505
Country : US
Telephone Number : 888-856-4541
Fax Number :
Provider Business Practice Location Address
First Line : 5700 CITRUS BLVD STE A1
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70123-8505
Country : US
Telephone Number : 888-856-4541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2013
Last Update Date : 03/30/2021

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