Taylor'jode Markeya Luster
Taylor'jode Markeya Luster is a Behavior Technician in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
634 N Main St Ste 4O Fallon, IL 62269-3746
Phone: (618) 726-5870
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence L23681396839 (IL) |
|---|
Record details
| NPI number | 1831730266 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 7, 2019 |
| Last updated in NPPES | October 7, 2019 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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Kelsey Dionna Lyles
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