Individual
JASMINE ANTWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7608 E 91ST ST, TULSA, OK 74133-6014
(918) 663-0606
Mailing address
7608 E 91ST ST, TULSA, OK 74133-6014
(918) 663-0606
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-229535
OK
2355S0801X
Speech-Language Assistant
SLPA267
OK
Other
Enumeration date
02/15/2022
Last updated
02/18/2026
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