Individual
JASMINE BUEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RBT
Contact information
Practice address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
(425) 657-0620
Mailing address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
(425) 657-0620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61115341
WA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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