Jazzmine Cross

NPI #1053029884 in Irmo, South Carolina

Provider Information

NPI Number: 1053029884
Entity Type: Individual
Name: Jazzmine Cross
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 10, 2022
Last Updated: Nov 10, 2022

Practice Location

Address: 1084 LAKE MURRAY BLVD
City: Irmo
State: South Carolina
ZIP Code: 29063-2821
Phone: (706) 842-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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