MEDICARE: TAYLORED INNOVATIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1891628350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAYLORED INNOVATIONS LLC

Provider Business Mailing Address
First Line	:	2448 W ADDISON ST APT 3B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5959
Country	:	US
Telephone Number	:	219-688-1425
Fax Number	:

Provider Business Practice Location Address
First Line	:	2448 W ADDISON ST APT 3B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5959
Country	:	US
Telephone Number	:	219-688-1425
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	TAYLOR DANIELLE WILLIS
Credential	:	BCBA
Telephone Number	:	219-688-1425

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “TAYLORED INNOVATIONS LLC ” Practice Location

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