Myah Jae Woodard

NPI #1780534388 in Glen Carbon, Illinois

Provider Information

NPI Number: 1780534388
Entity Type: Individual
Name: Myah Jae Woodard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 2, 2026
Last Updated: Feb 2, 2026

Practice Location

Address: 117 GLEN CROSSING RD
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1405
Phone: (618) 554-4394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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