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NPI Code Detail

MEDICARE: MAKAYLA JAYNE COLONA

MEDICARE: MAKAYLA JAYNE COLONA
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
1101YM0800XMental Health CounselorVA
2106S00000XBehavior TechnicianVA

General Provider Information

NPI Number : 1811727910
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKAYLA JAYNE COLONA
Provider Business Mailing Address
First Line : 1064 LASKIN RD STE 14C
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-6337
Country : US
Telephone Number : 757-233-1500
Fax Number :
Provider Business Practice Location Address
First Line : 1064 LASKIN RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-6337
Country : US
Telephone Number : 757-233-1509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2024
Last Update Date : 01/29/2026

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Directions to “ MAKAYLA JAYNE COLONA ” Practice Location

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