Individual
JASMINE JOY WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 101ST ST STE 101, LUBBOCK, TX 79423-4047
(806) 810-3335
Mailing address
3309 101ST ST STE 101, LUBBOCK, TX 79423-4047
(806) 810-3335
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1948
TX
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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