Individual
JASMINE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 W BALTIMORE PIKE, MEDIA, PA 19063-5638
(302) 824-5889
Mailing address
77 W BALTIMORE PIKE, MEDIA, PA 19063-5638
(302) 824-5889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007700
PA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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