Individual
JASMINE PAIGE SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W LEE ST, ENTERPRISE, AL 36330-2424
(334) 618-3302
Mailing address
201 W LEE ST, ENTERPRISE, AL 36330-2424
(334) 618-3302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-184922
21-184922
—
Enumeration date
09/16/2021
Last updated
09/16/2021
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