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NPI Code Detail

MEDICARE: ANYGIAH KA'HARI JEFFERSON

MEDICARE: ANYGIAH KA'HARI 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
1106S00000XBehavior TechnicianRBT-26-527995GA

General Provider Information

NPI Number : 1568395648
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANYGIAH KA'HARI JEFFERSON
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number : 570-436-3095
Provider Business Practice Location Address
First Line : 260 PEACHTREE ST NW STE 2200
Second Line :
City : ATLANTA
State : GA
Zip : 30303-1292
Country : US
Telephone Number : 855-832-6727
Fax Number : 855-832-6727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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