NPI 1033763503

Tayler Hancock

Practitioner Behavior Technician Jackson, WY

Practice location

Address: 310 East Broadway, Jackson, WY 83001
Phone: (804) 614-5853
Mailing address: PO Box 11231, Jackson, WY 83002-1231

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 18-63956 (UT)

Other Behavior Technician providers in Wyoming →

Registry record

NPI: 1033763503
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2019
Record last updated: 1 Aug 2019

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.