Provider / Organization | NPI | Date Certified |
---|---|---|
TAYLOR SCANLAN | 1730756149 | 2021-06-06 |
Taylor Scanlan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1730756149. Registration indicates Taylor Scanlan is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Taylor Scanlan |
Practice Office Address | 410 SE 2ND AVE POMPANO BEACH, FL US |
Practice Office Telephone | 9544789743 |
Mailing Address | 410 SE 2ND AVE POMPANO BEACH, FL 330608074 US |
Business Telephone | 9544789743 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-21-165883
FL |