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Individual

JASMINE LEINANI UPCHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6930 ROOSEVELT RD, OAK PARK, IL 60304-1845
(818) 345-2345
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
(818) 345-2345

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/19/2026
Last updated
01/19/2026
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