Individual provider · NPI-1

Taryn Dolan

Behavior Analyst · Charlotte, NC

NPI number1245897156
StatusActive
Last updated in NPPESSep 15, 2020

Details

NPI
1245897156
Entity type
Individual (NPI-1)
Name
Taryn Dolan
Sex
Female
Sole proprietor
No
Enumeration date
May 26, 2019
Certification date
Sep 15, 2020
Last updated
Sep 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst3002MAYes
222Q00000X Developmental Therapist––

Practice location

2301 Crownpoint Executive Dr Ste E
Charlotte, NC 28227-6725

Phone 980-785-1113

Mailing address

2301 Crownpoint Executive Dr Ste E
Charlotte, NC 28227-6725

Other practice locations

321 Fortune Blvd
Milford, MA 01757-1750

Phone 508-478-0207

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