Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jibreel N Hazly

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1417559287

Jibreel N Hazly is an Intellectual & Developmental Disabilities Psychologist in Canton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
3

Practice location Address checks out

1225 N Main St
Canton, OH 44720-1959
Phone: (330) 618-5246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X (OH)
Behavior Technician Taxonomy 106S00000X (OH)
Home Health Agency Taxonomy 251E00000X (OH)

Record details

NPI number1417559287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 16, 2020
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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