Jasmine Tiara Brooks

NPI #1306312079 in O Fallon, Illinois

Provider Information

NPI Number: 1306312079
Entity Type: Individual
Name: Jasmine Tiara Brooks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 19, 2018
Last Updated: Oct 19, 2018

Practice Location

Address: 634 N MAIN ST STE 4
City: O Fallon
State: Illinois
ZIP Code: 62269-3746
Phone: (618) 726-0701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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