Individual
JASMINE LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13765 VINTAGE DR SW, PORT ORCHARD, WA 98367-7391
(808) 688-3897
Mailing address
17814 25TH AVENUE CT E, TACOMA, WA 98445-4288
(808) 688-3897
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA.AB.70048750
WA
Other
Enumeration date
01/23/2024
Last updated
10/16/2025
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