Individual
JAYLEN ISAIAH MINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8149 OLD FEDERAL RD, MONTGOMERY, AL 36117-8009
(334) 523-1331
(312) 386-6820
Mailing address
8149 OLD FEDERAL RD, MONTGOMERY, AL 36117-8009
(334) 523-1331
(312) 386-6820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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