Most Relevant Information
Provider Data
| NPI Number: | 1003684499 |
| Provider Name: | TAYLOR FUNK |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2023 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
14251 DANIELSON ST
POWAY
CA
920648818
Practice Location Phone/Fax
| Phone: | 8586997579 |
| Fax: |
Provider Mailing Location
14251 DANIELSON ST
POWAY
CA
920648818
Provider Mailing Phone/Fax
| Phone: | 8586997579 |
| Fax: |