Individual
MISS JASMINE RENE PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
681 NW STANFORD LN, PORT ST LUCIE, FL 34983-3406
(561) 240-9185
Mailing address
681 NW STANFORD LN, PORT ST LUCIE, FL 34983-3406
(561) 240-9185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
03/08/2018
Last updated
03/14/2025
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