Jasmine Tanner

NPI #1699418673 in Pooler, Georgia

Provider Information

NPI Number: 1699418673
Entity Type: Individual
Name: Jasmine Tanner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 18, 2022
Last Updated: Apr 18, 2022

Practice Location

Address: 1000 TOWNE CENTER BLVD
City: Pooler
State: Georgia
ZIP Code: 31322-4052
Phone: (706) 842-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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