Individual
JAZZ BASILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W 82ND ST # LLP101, NEW YORK, NY 10024-5511
(646) 389-4112
Mailing address
145 E 26TH ST APT 1A, NEW YORK, NY 10010-1863
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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