Christen Sophia Taylor
Individual provider Active NPI Behavior Technician · Marmaduke, AR
NPI 1043028996 · NPPES record last updated Dec 24, 2024
Key facts
- NPI
- 1043028996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 304 N 1St St
Marmaduke, AR 72443-9610 - Phone
- (317) 640-1816
- NPI assigned
- Dec 24, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
304 N 1St St
Marmaduke, AR 72443-9610
Mailing address
400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438
Phone (501) 613-0385
Other providers in Marmaduke, AR
All providers in Marmaduke, AR · Behavior Technician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.