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NPI Code Detail

MEDICARE: KAYLA JORDAN

MEDICARE: KAYLA JORDAN
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 TechnicianRBT-25-478234MO

General Provider Information

NPI Number : 1841154895
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA JORDAN
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 1209 E WALNUT ST
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-4944
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ KAYLA JORDAN ” Practice Location

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