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NPI Code Detail

MEDICARE: JAELYNN S CHOI

MEDICARE: JAELYNN S CHOI
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 TechnicianBACB1142852TX

General Provider Information

NPI Number : 1730927096
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAELYNN S CHOI
Provider Business Mailing Address
First Line : 4118 BACCARAT DR
Second Line :
City : GARLAND
State : TX
Zip : 75043-6648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2655 VILLA CREEK DR STE 140
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-7385
Country : US
Telephone Number : 214-736-8376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2024
Last Update Date : 07/19/2024

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Directions to “ JAELYNN S CHOI ” Practice Location

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