Detherow, Taylor

Detherow, Taylor is an sole proprietor health care provider with primary practice located at 3771 Stefani Rd , Cantonment FL 32533-7795. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Detherow, Taylor can be contacted via phone (850) 607-6910.

Contact Information

Primary practice address
3771 Stefani Rd Cantonment FL 32533-7795
Phone: (850) 607-6910
Fax: (850) 607-6932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 10190 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 35476 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-45584 Florida

Profile Details

NPI number 1033626437
LBN Legal business name Detherow, Taylor
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2018
Last updated Nov 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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