Whalio Doctors

NPI 1003418633

Taylor Bradshaw

Practitioner Behavior Technician Memphis, TN

Practice location

Address
3875 Tiger Paw St S, Memphis, TN 38152-3920
Phone
(901) 678-5134
Mailing address
10173 Green Moss Cv, Cordova, TN 38018-0115

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1003418633
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Nov 2020
Record last updated
9 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.