Provider Demographics
NPI:1417302357
Name:CHIAPPONE, TAYLOR GRACE
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:GRACE
Last Name:CHIAPPONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WILLOW RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-3010
Mailing Address - Country:US
Mailing Address - Phone:516-554-2606
Mailing Address - Fax:
Practice Address - Street 1:11020 73RD RD
Practice Address - Street 2:APT 4H
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6312
Practice Address - Country:US
Practice Address - Phone:516-554-2606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst