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General NPI Number Information
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NPI Number | 1124814637
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Entity Type | Individual
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Provider Name | JAYLA GOSSETT
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Gender | Female
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 3190 NORTHEAST EXPY NE STE 110
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City | ATLANTA
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State | GA
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Zip | 30341-5323
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Country | US
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Telephone | 404-487-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 GUSTINE LN APT 2611
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City | HOUSTON
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State | TX
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Zip | 77031-1604
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Country | US
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Telephone | 817-583-4940
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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