Individual
JASMINE JUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA-OK
Contact information
Practice address
612 SW 154TH PL, OKLAHOMA CITY, OK 73170-7538
(405) 395-7929
Mailing address
612 SW 154TH PL, OKLAHOMA CITY, OK 73170-7538
(405) 395-7929
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54629
OK
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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