Provider Demographics
NPI:1487427175
Name:NAYLOR, DARRIN JAZZARA II
Entity type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:JAZZARA
Last Name:NAYLOR
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 HAL CIR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2619
Mailing Address - Country:US
Mailing Address - Phone:443-435-3801
Mailing Address - Fax:
Practice Address - Street 1:2401 HAL CIR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2619
Practice Address - Country:US
Practice Address - Phone:443-435-3801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician