TAYLOR DETHEROW

Behavior Analyst

Active Individual
NPI: 1033626437

Practice Address

3771 STEFANI RD
Cantonment, FL 32533

Phone: (850) 607-6910

Specialties

Specialty Code Primary License
Assistant Behavior Analyst 106E00000X No 10190 (FL)
Behavior Technician 106S00000X No 35476 (FL)
Behavior Analyst 103K00000X Yes 1-20-45584 (FL)

Frequently Asked Questions

NPI 1033626437 is the National Provider Identifier for TAYLOR DETHEROW, a Behavior Analyst provider located in Cantonment, FL. This NPI was enumerated on January 7, 2018.
TAYLOR DETHEROW practices at 3771 STEFANI RD, Cantonment, FL 32533.

Quick Facts

NPI
1033626437
Type
Individual
Enumerated
Jan 7, 2018
Last Updated
Nov 1, 2020

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