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NPI Code Detail

MEDICARE: JAYLUN BRYANT

MEDICARE:   JAYLUN  BRYANT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1366384950
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLUN BRYANT
Provider Business Mailing Address
First Line : 4944 NORTH 37TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4944 NORTH 37TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209
Country : US
Telephone Number : 414-391-4424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ JAYLUN BRYANT ” Practice Location

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