Individual
JASMINE BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1305 S GILBERT RD, GILBERT, AZ 85296-4019
(480) 621-8361
Mailing address
1305 S GILBERT RD, GILBERT, AZ 85296-4019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-002032
AZ
106E00000X
Assistant Behavior Analyst
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
04/13/2026
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