Provider Demographics
NPI:1740088319
Name:SPURLOCK, TAYLOR (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:SPURLOCK
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 W JOHN CARPENTER FWY STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2524
Mailing Address - Country:US
Mailing Address - Phone:972-217-4090
Mailing Address - Fax:
Practice Address - Street 1:1153 W JOHN CARPENTER FWY STE 100
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2524
Practice Address - Country:US
Practice Address - Phone:972-217-4090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8206103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst