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NPI Code Detail

MEDICARE: JASMINE R WASHINGTON BCBA

MEDICARE:   JASMINE R WASHINGTON  BCBA
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 TechnicianLA
2103K00000XBehavior Analyst1-22-61797TX

General Provider Information

NPI Number : 1225500614
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE R WASHINGTON BCBA
Provider Business Mailing Address
First Line : 2625 EMPIRE DR APT 6319
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-0081
Country : US
Telephone Number : 225-323-4456
Fax Number : --
Provider Business Practice Location Address
First Line : 919 MEDICAL DR STE 1200
Second Line :
City : ALLEN
State : TX
Zip : 75013-5756
Country : US
Telephone Number : 972-217-4110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2018
Last Update Date : 10/06/2022

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Directions to “ JASMINE R WASHINGTON BCBA” Practice Location

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