Provider Demographics
NPI:1386804490
Name:TAYLOR, ANN CECILIA (BCBA)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:CECILIA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:BCBA
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Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:855-832-6727
Mailing Address - Fax:772-675-9100
Practice Address - Street 1:600 ARABIAN COLT DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-2354
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:772-675-9100
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL679391696Medicaid
FL679391679Medicaid
FL679391698Medicaid