Most Relevant Information
Provider Data
| NPI Number: | 1003678384 |
| Provider Name: | ERICA STEPHANIE BLANCHE TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/23/2024 |
| Last Updated: | 01/23/2024 |
Provider Practice Location
3415 SE POWELL BLVD
PORTLAND
OR
972023371
Practice Location Phone/Fax
| Phone: | 5032349591 |
| Fax: |
Provider Mailing Location
3415 SE POWELL BLVD
PORTLAND
OR
972023371
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |