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NPI Code Detail

MEDICARE: MRS. BRITTANY JAI YATES

MEDICARE: MRS. BRITTANY JAI YATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant3654429OH
2171M00000XCase Manager/Care Coordinator
3101YA0400XAddiction (Substance Use Disorder) Counselor191966OH
4106S00000XBehavior TechnicianOH

General Provider Information

NPI Number : 1134807217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANY JAI YATES
Provider Business Mailing Address
First Line : 436 WARREN ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-2808
Country : US
Telephone Number : 937-684-7004
Fax Number :
Provider Business Practice Location Address
First Line : 600 WAYNE AVE
Second Line :
City : DAYTON
State : OH
Zip : 45410-1122
Country : US
Telephone Number : 937-496-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2023
Last Update Date : 01/02/2026

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