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NPI Code Detail

MEDICARE: JASON NAKAYAMA

MEDICARE:   JASON  NAKAYAMA
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 TechnicianBTMD

General Provider Information

NPI Number : 1265395180
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON NAKAYAMA
Provider Business Mailing Address
First Line : 7127 AMBASSADOR RD STE 150
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-3057
Country : US
Telephone Number : 312-376-1327
Fax Number :
Provider Business Practice Location Address
First Line : 7127 AMBASSADOR RD STE 150
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-3057
Country : US
Telephone Number : 312-376-1327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ JASON NAKAYAMA ” Practice Location

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