Individual provider · Type 1 NPI

Taylor Detherow

Behavior Analyst · Cantonment, FL

NPI number 1033626437 Active

Practice location

3771 Stefani Rd
Cantonment, FL 32533-7795

Call (850) 607-6910 Map

Fax (850) 607-6932

Mailing address

1007 Pineview Blvd Unit C
Fort Walton Beach, FL 32547-1499

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst 106E00000X10190 (FL)
Behavior Technician 106S00000X35476 (FL)
Behavior Analyst Primary 103K00000X1-20-45584 (FL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1033626437

Taylor Detherow's National Provider Identifier is 1033626437, issued on Jan 7, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Cantonment, FL. The record was last updated on Nov 1, 2020.