Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR DETHEROW
Active Sole ProprietorBehavior Analyst · CANTONMENT, FL
Registration Details
- NPI Number
- 1033626437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2018 (8.3129742817886 yrs)
- Last Updated
- Nov 1, 2020
- Licenses
-
10190 (FL)35476 (FL)1-20-45584 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3771 STEFANI RDCANTONMENT, FL, 325337795Browse FL providers · Browse ZIP 32533
- Phone
- 8506076910
- Fax
- 8506076932
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in CANTONMENT, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. LAURA LEANNE O'BRIEN | M.A. | 1770875825 |
| KELLY LYNN WHITE | — | 1821542473 |
| MRS. ROSE WITHERS | BCBA | 1801331582 |
| HEATHER DAWNEL HAYS | BCBA | 1811407281 |
| TONYA CALIX | — | 1992212450 |
| TYLER NICOLE MORRIS | BCBA | 1932601283 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.