Individual
JASMINE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9651 W 153RD ST, SUITE 54, ORLAND PARK, IL 60462-3773
(815) 295-6155
Mailing address
9651 W 153RD ST, SUITE 54, ORLAND PARK, IL 60462-3773
(815) 295-6155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-24477
IL
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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