Provider Demographics
NPI:1568229284
Name:SARABIA, JAYDEN MCKENNA
Entity Type:Individual
Prefix:
First Name:JAYDEN
Middle Name:MCKENNA
Last Name:SARABIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAYDEN
Other - Middle Name:MCKENNA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11520 NW 105TH ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-1719
Mailing Address - Country:US
Mailing Address - Phone:918-351-8973
Mailing Address - Fax:
Practice Address - Street 1:11520 NW 105TH ST
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-1719
Practice Address - Country:US
Practice Address - Phone:918-351-8973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist