MEDICARE: KIYA JANE BRODY

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1942052246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIYA JANE BRODY

Provider Business Mailing Address
First Line	:	13490 GRAN BAY PKWY APT 919
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-7443
Country	:	US
Telephone Number	:	720-877-6049
Fax Number	:

Provider Business Practice Location Address
First Line	:	13490 GRAN BAY PKWY APT 919
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-7443
Country	:	US
Telephone Number	:	720-877-6049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2024
Last Update Date	:	04/02/2024

Similar Medicare Providers

1669323390 — ANGELICA COLON
Practice Location Address:

8081 PHILIPS HWY STE 5
JACKSONVILLE, FL
32256-7443

Practice Phone: 904-922-4476
Practice Fax:

1871153213 — REBOUND REHABILITATIVE SERVICES INC
Practice Location Address:

8081 PHILIPS HWY STE 5
JACKSONVILLE, FL
32256-7443

Practice Phone: 904-872-3100
Practice Fax: 904-872-3106

1184470148 — SOUTHEASTERN PHARMACY
Practice Location Address:

8081 PHILIPS HWY STE 7
JACKSONVILLE, FL
32256-7443

Practice Phone: 904-718-5631
Practice Fax:

1477365773 — CHELSEA JANA GJUSHI PTA
Practice Location Address:

8081 PHILIPS HWY STE 5
JACKSONVILLE, FL
32256-7443

Practice Phone: 904-872-3100
Practice Fax:

1417829540 — MRS. PINAL PATEL LMT
Practice Location Address:

8081 PHILIPS HWY STE 5
JACKSONVILLE, FL
32256-7443

Practice Phone: 904-872-3100
Practice Fax: 904-872-3106

1184575789 — KEONNA PERRY
Practice Location Address:

12735 GRAN BAY PKWY W STE 204
JACKSONVILLE, FL
32258-4499

Practice Phone: 888-754-0398
Practice Fax:

Directions to “ KIYA JANE BRODY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.