Individual
JASMINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 N 11TH ST, BROOKLYN, NY 11211-1100
(732) 630-1098
Mailing address
26 WEST ST APT 6Q, BROOKLYN, NY 11222-6276
(314) 420-5133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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