NPI 1033892419

Randall Taylor

Practitioner Assistant Behavior Analyst Fairburn, GA

Practice location

Address: 7185 Buck Creek Dr, Fairburn, GA 30213-3113
Phone: (704) 300-2788

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 106S00000X (GA)

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Registry record

NPI: 1033892419
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2023
Record last updated: 10 Aug 2023

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.