Jaclyn Favale
NPI 1336764786ActiveIndividual· Speech-Language Pathologist· Leesburg, VA
Speech-Language Pathologist in Leesburg, Virginia, licensed in VA, with an NPI issued in June 2020.
Overview
| NPI | 1336764786 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 11, 2020 |
| Last updated in NPPES | Jul 18, 2022 |
| Certified by provider | Jul 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 2202010106 | VA |
| Speech-Language Pathologist | 235Z00000X | — | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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