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NPI Code Detail

MEDICARE: KAYLA JEFFERSON

MEDICARE: KAYLA JEFFERSON
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
1103K00000XBehavior AnalystVA

General Provider Information

NPI Number : 1558296160
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA JEFFERSON
Provider Business Mailing Address
First Line : 8405 RICHMOND HWY STE E
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22309-2425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8405 RICHMOND HWY STE E
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22309-2425
Country : US
Telephone Number : 703-896-0760
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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