Johanna Taylor
Individual provider Active NPI Behavior Analyst · Paia, HI
NPI 1861864597 · NPPES record last updated Oct 21, 2015
Key facts
- NPI
- 1861864597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 612 Loina Place
Paia, HI 96779 - Phone
- (412) 716-3455
- NPI assigned
- Oct 21, 2015
- 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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
612 Loina Place
Paia, HI 96779
Mailing address
612 Loina Place
Paia, HI 96779
Other providers in Paia, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2015. 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.