Healthcare Provider Details

I. General information

NPI: 1700706868
Provider Name (Legal Business Name): JAYLEEN IVETT ARNAOUT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4551 JOHN TYLER HWY STE 201
WILLIAMSBURG VA
23185-2453
US

IV. Provider business mailing address

1200 MARQUIS PKWY APT 2209
WILLIAMSBURG VA
23185-5567
US

V. Phone/Fax

Practice location:
  • Phone: 801-588-9901
  • Fax:
Mailing address:
  • Phone: 801-588-9901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: