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NPI Code Detail

MEDICARE: JAELYN DOYLE

MEDICARE: JAELYN DOYLE
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
1103K00000XBehavior AnalystNJ

General Provider Information

NPI Number : 1457990996
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAELYN DOYLE
Provider Business Mailing Address
First Line : 4 MILL RUN CT
Second Line :
City : MEDFORD
State : NJ
Zip : 08055-2436
Country : US
Telephone Number : 609-953-5793
Fax Number : 609-654-6794
Provider Business Practice Location Address
First Line : 4 MILL RUN CT
Second Line :
City : MEDFORD
State : NJ
Zip : 08055-2436
Country : US
Telephone Number : 609-953-5793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2020
Last Update Date : 11/20/2025

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