Provider Demographics
NPI:1225794134
Name:ERNSTES, TAYLOR MARIE (RBT)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:MARIE
Last Name:ERNSTES
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MS
Other - First Name:TAYLOR
Other - Middle Name:MARIE
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-6743
Mailing Address - Country:US
Mailing Address - Phone:812-413-9321
Mailing Address - Fax:812-413-9323
Practice Address - Street 1:2600 SANDRCREST BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201
Practice Address - Country:US
Practice Address - Phone:812-413-9321
Practice Address - Fax:812-413-9323
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-23-65084103K00000X
INRBT-20-120029106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician