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Taylor Nicole Keller

Behavior Technician in Mesquite, TX. Individual provider (NPI-1).

NPI number1124600580
StatusActive
Last updated in NPPESApr 26, 2021

Details

NPI
1124600580
Entity type
Individual (NPI-1)
Name
Taylor Nicole Keller
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 26, 2021
Certification date
Apr 26, 2021
Last updated
Apr 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

920 Highway 352 Ste 200
Mesquite, TX 75149-6806

Phone 855-722-7822

Mailing address

920 Highway 352 Ste 200
Mesquite, TX 75149-6806

Phone 214-491-7083

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