Individual
JASMELLE JARAMILLO-MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 295-2609
Mailing address
1580 HAILEYS FERRY RD, LILESVILLE, NC 28091-7099
(786) 393-3941
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
02111848
NC
106S00000X
Behavior Technician
RBT1745161
FL
106S00000X
Behavior Technician
RBT1745161
NC
Other
Enumeration date
11/16/2016
Last updated
04/22/2021
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