Individual
JASMINE HUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 960-7476
Mailing address
1530 N ANN ST SPC 14, NAMPA, ID 83687-3034
(541) 212-8842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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