Healthcare Provider Details

I. General information

NPI: 1275466427
Provider Name (Legal Business Name): JAYLA M CHANEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 POYDRAS ST STE 1400
NEW ORLEANS LA
70130-6116
US

IV. Provider business mailing address

1612 MAURA PL
NEW ORLEANS LA
70131-7913
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone: 185-583-2672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateGU

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: