Individual
JASMINE BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W KELLEY ST, DE SOTO, MO 63020-1925
(636) 222-8472
Mailing address
801 W KELLEY ST, DE SOTO, MO 63020-1925
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MO
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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