Provider Demographics
NPI:1194092015
Name:CALAME, TAYLOR MICHELE (BCABA)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:MICHELE
Last Name:CALAME
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 WESTERN PLAINS AVE
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5343
Mailing Address - Country:US
Mailing Address - Phone:979-220-1397
Mailing Address - Fax:
Practice Address - Street 1:5310 WESTERN PLAINS AVE
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5343
Practice Address - Country:US
Practice Address - Phone:979-220-1397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0-10-3921103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst