Most Relevant Information
Provider Data
| NPI Number: | 1003345810 |
| Provider Name: | LAJERRICK D. TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2017 |
| Last Updated: | 05/17/2018 |
Provider Practice Location
2204 ST. CHARLES ST
SUITE 101/102
LECOMPTE
LA
71346
Practice Location Phone/Fax
| Phone: | 3184063044 |
| Fax: | 3184063045 |
Provider Mailing Location
PO BOX 111
LECOMPTE
LA
713460111
Provider Mailing Phone/Fax
| Phone: | 3184063044 |
| Fax: | 3184063045 |