Individual
JAZMINE RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, SCABA
Contact information
Practice address
7932 SUMMA AVE STE B2, BATON ROUGE, LA 70809-3736
(225) 349-7171
Mailing address
401 OAKWOOD ST, BOSSIER CITY, LA 71111-2211
(318) 701-5864
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
C-232
LA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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