Individual
MISS JASMINE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 TOWER DR, VIRGINIA BEACH, VA 23462-3555
(757) 317-0600
(757) 317-0900
Mailing address
149 TOWER DR, VIRGINIA BEACH, VA 23462-3555
(757) 317-0600
(757) 317-0900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852002319
—
VA
Enumeration date
10/30/2023
Last updated
10/30/2023
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