DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUBILEE CASOOSE

MEDICARE: JUBILEE CASOOSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1497693477
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUBILEE CASOOSE
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 4439 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4139
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

Similar Medicare Providers

1558209486 — ZOE FLORES
Practice Location Address:
4439 N 7TH ST
PHOENIX, AZ
85014-4139
Practice Phone: 855-223-7123
Practice Fax:
1467390393 — MADISON GILEVSKI
Practice Location Address:
4439 N 7TH ST
PHOENIX, AZ
85014-4139
Practice Phone: 855-223-7123
Practice Fax:
1801749320 — LESLIE ALBARRAN SOLORIO
Practice Location Address:
4439 N 7TH ST
PHOENIX, AZ
85014-4139
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134
1639025620 — BENNET CREWS
Practice Location Address:
4439 N 7TH ST
PHOENIX, AZ
85014-4139
Practice Phone: 855-223-7123
Practice Fax:
1275489262 — LEONARDO GONZALEZ ANTUNEZ
Practice Location Address:
4439 N 7TH ST
PHOENIX, AZ
85014-4139
Practice Phone: 855-223-7123
Practice Fax:
1316892425 — ANDREW HUDSON
Practice Location Address:
4439 N 7TH ST
PHOENIX, AZ
85014-4139
Practice Phone: 855-223-7123
Practice Fax:

Directions to “ JUBILEE CASOOSE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.