Jasmine Avory Faddler

NPI #1568269991 in Cambridge, Minnesota

Provider Information

NPI Number: 1568269991
Entity Type: Individual
Name: Jasmine Avory Faddler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 25, 2025
Last Updated: Feb 25, 2025

Practice Location

Address: 538 MAIN ST, STE 110
City: Cambridge
State: Minnesota
ZIP Code: 55008-1630
Phone: (952) 767-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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