Healthcare Provider Details

I. General information

NPI: 1063325314
Provider Name (Legal Business Name): JAYLA ISLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 HILLBROOKE TRL STE 3
TALLAHASSEE FL
32311-7902
US

IV. Provider business mailing address

3100 DIAN RD APT 305
TALLAHASSEE FL
32304-5602
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: