Taylor Buckner
Individual provider Active NPI Behavior Technician · Louisville, KY
NPI 1265079040 · NPPES record last updated Nov 29, 2019
Key facts
- NPI
- 1265079040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-19-95685 (KY)
- Practice address
- 5215 Commerce Crossings Dr
Louisville, KY 40229-2183 - Phone
- (502) 251-7002
- NPI assigned
- Nov 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-95685 | KY | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | RBT-19-95685 | KY | Yes |
Addresses
Primary practice location
5215 Commerce Crossings Dr
Louisville, KY 40229-2183
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Other providers in Louisville, KY
- April Buckner
- David Buckner
- Lloyd Robert Buckner Jr.
- Stephen J Buckner
- Takatiya Buckner
- Henry Lomell Buckwalter
- Chloe Buday
- Ellen Taylor Buddeke
- Buechel Rehabilitation and Occupational Therapy Center
- Audra Danielle Buechler
All providers in Louisville, KY · Behavior Technician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2019. 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.