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NPI Code Detail

MEDICARE: JENNIFER BAILEY

MEDICARE: JENNIFER BAILEY
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 Analyst0133000798VA
2103K00000XBehavior Analyst1638MD

General Provider Information

NPI Number : 1962608877
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BAILEY
Provider Business Mailing Address
First Line : 706 W PATRICK ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4030
Country : US
Telephone Number : 301-882-7932
Fax Number :
Provider Business Practice Location Address
First Line : 706 W PATRICK ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4030
Country : US
Telephone Number : 301-882-7932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 01/30/2025

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Directions to “ JENNIFER BAILEY ” Practice Location

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