Christella Taylor
Individual provider Active NPI Behavior Technician · Mailtland, FL
NPI 1346018405 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1346018405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 601 S. Lake Destiny Rd. Suite 350
Mailtland, FL 32750 - Phone
- (407) 618-0493
- NPI assigned
- Dec 18, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
601 S. Lake Destiny Rd. Suite 350
Mailtland, FL 32750
Mailing address
508 Harrison Place Dr Apt 612
Deland, FL 32724-6999
Phone (386) 215-3660
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. 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.