Taylor Buckner
Behavior Technician in Louisville, KY. Individual provider (NPI-1).
NPI number1265079040
StatusActive
Last updated in NPPESNov 29, 2019
Details
- NPI
- 1265079040
- Entity type
- Individual (NPI-1)
- Name
- Taylor Buckner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2019
- Last updated
- Nov 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-95685 | KY | Yes |
Practice location
5215 Commerce Crossings DrLouisville, KY 40229-2183
Phone 502-251-7002
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
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