Individual
JASMINE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 N 11TH ST, MILWAUKEE, WI 53206-2831
(262) 409-8087
Mailing address
3307 N 11TH ST, MILWAUKEE, WI 53206-2831
(262) 409-8087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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