Individual
JASMIN S PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3709 CITATION WAY STE 102, MEDFORD, OR 97504-9022
(541) 500-6532
Mailing address
583 WINDSONG WAY, MEDFORD, OR 97504-9122
(505) 603-2744
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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