Individual
JASMINE BOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
1061 BRIDGE ST, PHILADELPHIA, PA 19124-1824
(267) 225-7180
Mailing address
4012 ELSON RD, BROOKHAVEN, PA 19015-1947
(610) 772-4745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008440
PA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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