Provider Demographics
NPI:1275203762
Name:LLOYD, JAYLINA C
Entity Type:Individual
Prefix:
First Name:JAYLINA
Middle Name:C
Last Name:LLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 RICHARD LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-1621
Mailing Address - Country:US
Mailing Address - Phone:917-995-5763
Mailing Address - Fax:
Practice Address - Street 1:61 RICHARD LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1621
Practice Address - Country:US
Practice Address - Phone:917-995-5763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst