Healthcare Provider Details

I. General information

NPI: 1043149966
Provider Name (Legal Business Name): DYGO BUSINESS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7741 BLACK SAND WAY
ANTELOPE CA
95843-4332
US

IV. Provider business mailing address

7909 WALERGA RD STE 112
ANTELOPE CA
95843-5727
US

V. Phone/Fax

Practice location:
  • Phone: 916-585-6555
  • Fax:
Mailing address:
  • Phone: 916-585-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JORDAN COGGINS
Title or Position: OWNER
Credential:
Phone: 916-585-6555