Jasmina Joan Nystrom

NPI #1215550470 in Fairfield, Ohio

Provider Information

NPI Number: 1215550470
Entity Type: Individual
Name: Jasmina Joan Nystrom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 22, 2020
Last Updated: May 22, 2020

Practice Location

Address: 6570 SOSNA DR
City: Fairfield
State: Ohio
ZIP Code: 45014-2222
Phone: (513) 942-4673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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