Healthcare Provider Details

I. General information

NPI: 1073363115
Provider Name (Legal Business Name): JAYLAN BRIANNA-WATSON NEAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD STE 200
SALINAS CA
93906-3127
US

IV. Provider business mailing address

1441 CONSTITUTION BLVD
SALINAS CA
93906-3100
US

V. Phone/Fax

Practice location:
  • Phone: 831-747-9365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: