Provider Demographics
NPI:1477817435
Name:TAYLOR CONSULTING
Entity Type:Organization
Organization Name:TAYLOR CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-847-5668
Mailing Address - Street 1:1335 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95361-2838
Mailing Address - Country:US
Mailing Address - Phone:209-847-5668
Mailing Address - Fax:209-847-5668
Practice Address - Street 1:1335 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:CA
Practice Address - Zip Code:95361-2838
Practice Address - Country:US
Practice Address - Phone:209-847-5668
Practice Address - Fax:209-847-5668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization