Most Relevant Information
Provider Data
| NPI Number: | 1003483363 |
| Provider Name: | TAYLOR MCINTYRE RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/07/2021 |
| Last Updated: | 06/07/2021 |
Provider Practice Location
901 WHALEN RD
VERONA
WI
535931765
Practice Location Phone/Fax
| Phone: | 9206397343 |
| Fax: |
Provider Mailing Location
273 N THOMPSON DR APT 8
MADISON
WI
537142092
Provider Mailing Phone/Fax
| Phone: | 9206397343 |
| Fax: |