Jasmine Mckennon

NPI #1770148389 in Spring Lake, North Carolina

Provider Information

NPI Number: 1770148389
Entity Type: Individual
Name: Jasmine Mckennon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 8, 2019
Last Updated: May 8, 2019

Practice Location

Address: 1018 N BRAGG BLVD
City: Spring Lake
State: North Carolina
ZIP Code: 28390-3316
Phone: (910) 261-1670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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