Provider Demographics
NPI:1942694690
Name:MILTON TAYLOR, PH.D., M.A.
Entity Type:Organization
Organization Name:MILTON TAYLOR, PH.D., M.A.
Other - Org Name:EAGLE-KRUT CONSULTING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MA
Authorized Official - Phone:702-335-8454
Mailing Address - Street 1:2510 E SUNSET RD
Mailing Address - Street 2:SUITE 5-159
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3522
Mailing Address - Country:US
Mailing Address - Phone:702-335-8454
Mailing Address - Fax:
Practice Address - Street 1:2510 E SUNSET RD
Practice Address - Street 2:SUITE 5-159
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3522
Practice Address - Country:US
Practice Address - Phone:702-335-8454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty