Provider Demographics
NPI:1104329333
Name:OCHSNER, TAYLOR ELIZABETH (RBT)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ELIZABETH
Last Name:OCHSNER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:ELIZABETH
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9352 LEVERET LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-1840
Mailing Address - Country:US
Mailing Address - Phone:972-822-6230
Mailing Address - Fax:
Practice Address - Street 1:161 JD TOWLES DR.
Practice Address - Street 2:
Practice Address - City:WILLOW PARK
Practice Address - State:TX
Practice Address - Zip Code:76087
Practice Address - Country:US
Practice Address - Phone:682-900-1444
Practice Address - Fax:682-900-1444
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-18-49492106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician