Most Relevant Information
Provider Data
| NPI Number: | 1003454927 |
| Provider Name: | KOREY TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/11/2019 |
| Last Updated: | 12/11/2019 |
Provider Practice Location
6004 ACADEMY RD NE
ALBUQUERQUE
NM
871093306
Practice Location Phone/Fax
| Phone: | 8667278274 |
| Fax: |
Provider Mailing Location
6004 ACADEMY RD NE
ALBUQUERQUE
NM
871093306
Provider Mailing Phone/Fax
| Phone: | 8667278274 |
| Fax: |