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NPI Code Detail

MEDICARE: JAMILAH WRIGHT

MEDICARE: JAMILAH WRIGHT
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 Technician26-506337

General Provider Information

NPI Number : 1629925672
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMILAH WRIGHT
Provider Business Mailing Address
First Line : 7504 E INDEPENDENCE BLVD STE 103
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-9407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7504 E INDEPENDENCE BLVD STE 103
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-9407
Country : US
Telephone Number : 888-392-8642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ JAMILAH WRIGHT ” Practice Location

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