Individual
JASMINE EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 LYMAN ST APT D304, SPRINGFIELD, MA 01103-1278
(507) 251-9549
Mailing address
27 LYMAN ST APT D304, SPRINGFIELD, MA 01103-1278
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/17/2023
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