Individual
JASMINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 SERVICE RD METARIE, NEW ORLEANS, LA 70006
(504) 266-8093
Mailing address
6205 WADSWORTH DR, NEW ORLEANS, LA 70122-3513
(504) 266-8093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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