TAYLOR JADE PUCKETT

TAMPA, FL
NPI1104584150
Former NameTAYLOR JADE STALBIRD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: TN  1-18-31948)
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
TAYLOR JADE PUCKETT BCBA
8001 BEATY GROVE DR
TAMPA, FL 33626-1602
Phone number: 813-926-5454
Mailing Address
TAYLOR JADE PUCKETT BCBA
140 WARREN AVE
ENGLEWOOD, FL 34223-3442
Phone number: 607-377-9647