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NPI Code Detail

MEDICARE: JAELYNN WOODS

MEDICARE:   JAELYNN  WOODS
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 : 1659112753
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAELYNN WOODS
Provider Business Mailing Address
First Line : 8913 N ONYX ST
Second Line :
City : TUCSON
State : AZ
Zip : 85742-9416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8913 N ONYX ST
Second Line :
City : TUCSON
State : AZ
Zip : 85742-9416
Country : US
Telephone Number : 619-867-7192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2024
Last Update Date : 06/03/2024

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Directions to “ JAELYNN WOODS ” Practice Location

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