Provider Demographics
NPI:1053031518
Name:FIGUEROA, TAYLOR (RBT)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 N MAIN ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-2562
Mailing Address - Country:US
Mailing Address - Phone:912-320-4378
Mailing Address - Fax:
Practice Address - Street 1:306 N MAIN ST STE 1A
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-2562
Practice Address - Country:US
Practice Address - Phone:912-320-4378
Practice Address - Fax:866-467-4321
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000000OtherN/A