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NPI Code Detail

MEDICARE: MS. JADA HERREL RBT

MEDICARE: MS. JADA HERREL RBT
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 Technician25-498677AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OTHEROTHERAL25-498677

General Provider Information

NPI Number : 1184588568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JADA HERREL RBT
Provider Business Mailing Address
First Line : 100 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 SPENRYN DR
Second Line :
City : MADISON
State : AL
Zip : 35758-1890
Country : US
Telephone Number : 256-772-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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