Taylor Detherow
Taylor Detherow is an Assistant Behavior Analyst in Cantonment, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
3771 Stefani RdCantonment, FL 32533-7795
Phone: (850) 607-6910
Fax: (850) 607-6932
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-20-45584 (FL) |
|---|---|
| Assistant Behavior Analyst | Taxonomy 106E00000X · Licence 10190 (FL) |
| Behavior Technician | Taxonomy 106S00000X · Licence 35476 (FL) |
Record details
| NPI number | 1033626437 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 7, 2018 |
| Last updated in NPPES | November 1, 2020 |
| Certification date | November 1, 2020 |
| Mailing address | 1007 Pineview Blvd Unit C, Fort Walton Beach, FL 32547-1499 |