MEDICARE: JAYCARE

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1487031787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAYCARE

Provider Business Mailing Address
First Line	:	40 AIRPORT RD
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-7032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 MARKET ST
Second Line	:	SUITE 1005
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-3913
Country	:	US
Telephone Number	:	215-839-6144
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHNEUR TRESS
Credential	:
Telephone Number	:	215-839-6144

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	05/06/2015

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Directions to “JAYCARE ” Practice Location

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