Individual provider · Type 1 NPI
Jayda Brink
Developmental Therapist · Carbondale, IL
Practice location
800 E Grand Ave, Apt. 40B
Carbondale, IL 62901-3509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1114307311
Jayda Brink's National Provider Identifier is 1114307311, issued on Jun 2, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Carbondale, IL. The record was last updated on Jun 2, 2015.