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NPI Code Detail

MEDICARE: DAIJONA CLAIR

MEDICARE: DAIJONA CLAIR
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 TechnicianLA

General Provider Information

NPI Number : 1861341786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAIJONA CLAIR
Provider Business Mailing Address
First Line : 901 GRETNA BLVD APT B6-11
Second Line :
City : GRETNA
State : LA
Zip : 70053-6967
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 GRETNA BLVD APT B6-11
Second Line :
City : GRETNA
State : LA
Zip : 70053-6967
Country : US
Telephone Number : 504-326-8372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ DAIJONA CLAIR ” Practice Location

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