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NPI Code Detail

MEDICARE: JAKYRA DIXON

MEDICARE:   JAKYRA  DIXON
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 : 1659237055
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAKYRA DIXON
Provider Business Mailing Address
First Line : 10801 PAUL EELLS DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72113-7608
Country : US
Telephone Number : 501-365-8900
Fax Number :
Provider Business Practice Location Address
First Line : 1430 ARAPAHO TRL
Second Line :
City : CONWAY
State : AR
Zip : 72034-2000
Country : US
Telephone Number : 501-365-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ JAKYRA DIXON ” Practice Location

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