Individual
JASMINE RENAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 E 126TH ST APT 1017, NEW YORK, NY 10035-1943
(732) 790-9904
Mailing address
158 E 126TH ST APT 1017, NEW YORK, NY 10035-1943
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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