NPI 1023853462

Taylor McGillivray

Practitioner Behavior Technician Lacey, WA

Practice location

Address: 3231 Willamette Dr NE, Lacey, WA 98516-1378
Phone: (360) 878-6434
Mailing address: 14906 99th Way SE, Yelm, WA 98597-8781

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1023853462
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2024
Record last updated: 27 Jun 2024

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.