Mikayla Sue Taylor

Individual provider Active NPI Behavior Technician · Eagle, MI

NPI 1982453148 · NPPES record last updated May 17, 2024

Key facts

NPI
1982453148
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
14814 W Stoll Rd
Eagle, MI 48822-9608
Phone
(517) 282-0943
NPI assigned
May 17, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X MI Yes

Addresses

Primary practice location

14814 W Stoll Rd
Eagle, MI 48822-9608

Mailing address

14814 W Stoll Rd
Eagle, MI 48822-9608
Phone (517) 282-0943

Other providers in Eagle, MI

All providers in Eagle, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.