Most Relevant Information
Provider Data
| NPI Number: | 1003467945 |
| Provider Name: | MORGAN TAYLOR LARSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 09/23/2019 |
Provider Practice Location
3428 W MARKET ST
FAIRLAWN
OH
443333339
Practice Location Phone/Fax
| Phone: | 3306884041 |
| Fax: |
Provider Mailing Location
3428 W MARKET ST
FAIRLAWN
OH
443333339
Provider Mailing Phone/Fax
| Phone: | 3306884041 |
| Fax: |