Individual
JASMIN SUNNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 MOUNT PLEASANT LN, BELLEVILLE, IL 62223-3944
(618) 489-5102
Mailing address
4005 TAWAKONI LN, GARLAND, TX 75043-1848
(469) 734-1562
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67789
TX
106S00000X
Behavior Technician
18-49721
TX
Other
Enumeration date
10/25/2019
Last updated
09/11/2023
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