Individual
JASMINE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(562) 325-0136
Mailing address
16309 WEDGEWORTH DR, HACIENDA HEIGHTS, CA 91745-2944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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