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

Tracy M Taylor, BAANDMOD/SEVERETE

Individual provider Behavior Technician · NPI 1225598469

Tracy M Taylor, BAANDMOD/SEVERETE is a Behavior Technician in Stockton, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-6957
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1225598469
Entity typeIndividual (Type 1)
GenderFemale
Credentials BAANDMOD/SEVERETE
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESMarch 22, 2019

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