MEDICARE: AUBREY TAYLOR M.S. LBS 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
1	103K00000X	Behavior Analyst	BH003951	PA
2	103K00000X	Behavior Analyst	1-22-57670	PA

General Provider Information

NPI Number	:	1992277099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY TAYLOR M.S. LBS BCBA

Provider Business Mailing Address
First Line	:	425 AVENUE C
Second Line	:
City	:	HORSHAM
State	:	PA
Zip	:	19044-2007
Country	:	US
Telephone Number	:	215-512-3412
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 GREENWOOD AVE
Second Line	:
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-2627
Country	:	US
Telephone Number	:	267-209-3396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2018
Last Update Date	:	03/14/2023

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