MEDICARE: JAILYN NICOLE MORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	ABA-IN-10272206	OR

General Provider Information

NPI Number	:	1295668473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAILYN NICOLE MORRIS

Provider Business Mailing Address
First Line	:	1221 SE ELLSWORTH RD APT 56
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-6225
Country	:	US
Telephone Number	:	785-269-7576
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 SE ELLSWORTH RD APT 56
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-6225
Country	:	US
Telephone Number	:	785-269-7576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ JAILYN NICOLE MORRIS ” Practice Location

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