Individual
JASMINE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W DUNLAP AVE STE 100, PHOENIX, AZ 85021-2813
(602) 325-2485
Mailing address
21600 OXFORD ST, STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D07321314
AZ
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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