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NPI Code Detail

MEDICARE: JOLYNN VILLENA

MEDICARE: JOLYNN VILLENA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1891252557
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOLYNN VILLENA
Provider Business Mailing Address
First Line : 3000 MCKNIGHT EAST DR STE 102
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-6422
Country : US
Telephone Number : 412-295-6734
Fax Number :
Provider Business Practice Location Address
First Line : 3000 MCKNIGHT EAST DR STE 102
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-6422
Country : US
Telephone Number : 412-295-6734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2019
Last Update Date : 02/28/2019

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Directions to “ JOLYNN VILLENA ” Practice Location

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