Jasmine Russell

NPI #1104655125 in Palm City, Florida

Provider Information

NPI Number: 1104655125
Entity Type: Individual
Name: Jasmine Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 29, 2024
Last Updated: Aug 1, 2024

Practice Location

Address: 1532 SW MAPP RD
City: Palm City
State: Florida
ZIP Code: 34990-2446
Phone: (772) 678-6704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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