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NPI Code Detail

MEDICARE: KATILYNNE JANE JARMON

MEDICARE: KATILYNNE JANE JARMON
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 : 1932050416
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATILYNNE JANE JARMON
Provider Business Mailing Address
First Line : 9120 SPRINGBROOK DR NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55433-5845
Country : US
Telephone Number : 763-231-2590
Fax Number :
Provider Business Practice Location Address
First Line : 9120 SPRINGBROOK DR NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55433-5845
Country : US
Telephone Number : 763-231-2590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ KATILYNNE JANE JARMON ” Practice Location

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