Individual
JASMINE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1972 INNERBELT BUSINESS CENTER DR, OVERLAND, MO 63114-5760
(314) 202-4002
(415) 406-3316
Mailing address
1972 INNERBELT BUSINESS CENTER DR, OVERLAND, MO 63114-5760
(314) 202-4002
(415) 406-3316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2026037665
MO
106S00000X
Behavior Technician
RBT-24-326575
MO
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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