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NPI Code Detail

MEDICARE: JAYDEN JEZOWSKI

MEDICARE: JAYDEN JEZOWSKI
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 : 1750213096
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYDEN JEZOWSKI
Provider Business Mailing Address
First Line : 900 CENTER AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-6189
Country : US
Telephone Number : 989-778-2098
Fax Number :
Provider Business Practice Location Address
First Line : 900 CENTER AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-6189
Country : US
Telephone Number : 989-778-2098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ JAYDEN JEZOWSKI ” Practice Location

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