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NPI Code Detail

MEDICARE: JAYLA ASHUNNI ERVING

MEDICARE: JAYLA ASHUNNI ERVING
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 Technician

General Provider Information

NPI Number : 1427983253
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLA ASHUNNI ERVING
Provider Business Mailing Address
First Line : 5080 WOODMONT DR
Second Line :
City : JACKSON
State : MS
Zip : 39206-4045
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 402B LEGACY PARK
Second Line :
City : RIDGELAND
State : MS
Zip : 39157-4315
Country : US
Telephone Number : 769-233-7154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ JAYLA ASHUNNI ERVING ” Practice Location

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