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NPI Code Detail

MEDICARE: JADAISHA GIVENS

MEDICARE: JADAISHA GIVENS
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
1106S00000XBehavior TechnicianRBT-25-482042FL

General Provider Information

NPI Number : 1144182817
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADAISHA GIVENS
Provider Business Mailing Address
First Line : 3375 34TH ST N STE 206
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-2400
Country : US
Telephone Number : 727-643-0011
Fax Number :
Provider Business Practice Location Address
First Line : 3375 34TH ST N STE 206
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-2400
Country : US
Telephone Number : 727-643-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ JADAISHA GIVENS ” Practice Location

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