Provider Demographics
NPI:1285231977
Name:JANOTA, TAYLOR ANNALISE (RBT)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:ANNALISE
Last Name:JANOTA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:230 N BELCREST AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-6287
Mailing Address - Country:US
Mailing Address - Phone:417-616-3180
Mailing Address - Fax:417-631-4996
Practice Address - Street 1:230 N BELCREST AVE STE B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-6287
Practice Address - Country:US
Practice Address - Phone:417-616-3180
Practice Address - Fax:417-631-4996
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst