Smith, Taylor Jo
Smith, Taylor Jo is an individual health care provider with primary practice located at 560 Van Reed Rd , Wyomissing PA 19610-1799. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Smith, Taylor Jo can be contacted via phone (888) 726-4774.Contact Information
Primary practice address
560 Van Reed Rd
Wyomissing PA 19610-1799
Phone: (888) 726-4774
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | Pennsylvania | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BH005081 | Pennsylvania |
Profile Details
| NPI number | 1598353039 |
|---|---|
| LBN Legal business name | Smith, Taylor Jo |
| Credentials | MA, BCBA, LBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2021 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598353039 | NPPES |
| Pennsylvania | Other | BH005081 | STATE LICENSE - BEHAVIORAL HEALTH |
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