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NPI Code Detail

MEDICARE: JAYCIE TEE DANIELS RBT

MEDICARE: JAYCIE TEE DANIELS RBT
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
1235Z00000XSpeech-Language Pathologist
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1386382729
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYCIE TEE DANIELS RBT
Provider Business Mailing Address
First Line : 13618 E HAMPDEN GREEN WAY
Second Line :
City : VAIL
State : AZ
Zip : 85641-6529
Country : US
Telephone Number : 619-415-6306
Fax Number :
Provider Business Practice Location Address
First Line : 5700 E PIMA ST STE G
Second Line :
City : TUCSON
State : AZ
Zip : 85712-5638
Country : US
Telephone Number : 520-232-2021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2022
Last Update Date : 06/03/2022

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Directions to “ JAYCIE TEE DANIELS RBT” Practice Location

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