Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Lee-Wambolt

Individual provider Behavior Technician · NPI 1700440120

Taylor Lee-Wambolt is a Behavior Technician in Saint Augustine, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

205 Cabeza St
Saint Augustine, FL 32080-4524
Phone: (479) 372-2995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT27189 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1700440120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESJuly 12, 2026
Certification dateJuly 12, 2026
Mailing address205 Cabeza St, Saint Augustine, FL 32080-4524

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