DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JAYLA TANDY

MEDICARE: JAYLA TANDY
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 : 1700749371
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLA TANDY
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number :
Provider Business Practice Location Address
First Line : 6635 E 21ST ST STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-2252
Country : US
Telephone Number : 317-608-2824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

Similar Medicare Providers

1891667358 — ERASMO RODRIGUEZ ESCALANTE-BRAVO
Practice Location Address:
6635 E 21ST ST STE 100
INDIANAPOLIS, IN
46219-2252
Practice Phone: 317-608-2824
Practice Fax:
1487517967 — DEVON COLE
Practice Location Address:
6635 E 21ST ST STE 100
INDIANAPOLIS, IN
46219-2252
Practice Phone: 317-608-2824
Practice Fax:
1598628083 — NATALIE PEGUERO
Practice Location Address:
6635 E 21ST ST STE 100
INDIANAPOLIS, IN
46219-2252
Practice Phone: 317-608-2824
Practice Fax:
1760731475 — RITA MARIE DONOGHUE MS
Practice Location Address:
6635 E 21ST ST STE 100
INDIANAPOLIS, IN
46219-2252
Practice Phone: 317-608-2824
Practice Fax:
1841543006 — JAYSON WALTER VANCE ZEIGLER OTR/L
Practice Location Address:
6635 E 21ST ST STE 100
INDIANAPOLIS, IN
46219-2252
Practice Phone: 317-608-2824
Practice Fax:
1003205543 — JAMIE LYN WISE MA, BCBA, LBA
Practice Location Address:
6635 E 21ST ST STE 100
INDIANAPOLIS, IN
46219-2252
Practice Phone: 317-608-2824
Practice Fax: 317-520-8200

Directions to “ JAYLA TANDY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.