(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003559006
Provider Name: TAYLEN MAE ROBERTSON
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 04/18/2022
Last Updated: 10/28/2022
Provider Practice Location
1050 N 3RD ST STE I
LARAMIE
WY
820722543
Practice Location Phone/Fax
Phone: 3072123284
Fax:
Provider Mailing Location
PO BOX 20310
PMB 55984
CHEYENNE
WY
820037007
Provider Mailing Phone/Fax
Phone:
Fax: