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Individual

JAYLA FUNCHESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
502 E SYCAMORE ST APT B, CARBONDALE, IL 62901-1728
(618) 534-5014
Mailing address
502 E SYCAMORE ST APT B, CARBONDALE, IL 62901-1728

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/22/2026
Last updated
05/22/2026
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