Taylor, Travis

Taylor, Travis is an individual health care provider with primary practice located at 4849 Lone Tree Way Suite C, Antioch CA 94531-8644. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Taylor, Travis can be contacted via phone (303) 989-8169.

Contact Information

Primary practice address
4849 Lone Tree Way Suite C Antioch CA 94531-8644
Phone: (303) 989-8169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1912543349
LBN Legal business name Taylor, Travis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2019
Last updated Nov 20th, 2019 - about 5 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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