Long, Taylor Michelle

Long, Taylor Michelle is an individual health care provider with primary practice located at 117 E Jefferson St , Georgetown KY 40324-1764. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Long, Taylor Michelle can be contacted via phone (859) 224-2273.

Contact Information

Primary practice address
117 E Jefferson St Georgetown KY 40324-1764
Phone: (859) 224-2273
Fax: (859) 224-4675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-45592 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 271557 Kentucky

Profile Details

NPI number 1841701406
LBN Legal business name Long, Taylor Michelle
Credentials MED, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2017
Last updated Nov 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841701406 NPPES
Other 1-20-45592 BCBA CERTIFICATE

Popular Providers