MEDICARE: JADYN JEFFRIES

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	103K00000X	Behavior Analyst	01005	KS

General Provider Information

NPI Number	:	1982241188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADYN JEFFRIES

Provider Business Mailing Address
First Line	:	3705 CLINTON PARKWAY
Second Line	:	SUITE 102
City	:	LAWRENCE
State	:	KS
Zip	:	66045-7599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3705 CLINTON PKWY STE 102
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2123
Country	:	US
Telephone Number	:	913-232-2003
Fax Number	:

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

Provider Enumeration Date	:	12/06/2019
Last Update Date	:	03/09/2026

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Directions to “ JADYN JEFFRIES ” Practice Location

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