MEDICARE: JASMINE CULWICK

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
1	106S00000X	Behavior Technician
2	225C00000X	Rehabilitation Counselor

General Provider Information

NPI Number	:	1851834253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE CULWICK

Provider Business Mailing Address
First Line	:	21600 OXNARD ST STE 1800
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-7807
Country	:	US
Telephone Number	:	818-345-2345
Fax Number	:

Provider Business Practice Location Address
First Line	:	7351 W CHARLESTON BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1572
Country	:	US
Telephone Number	:	702-470-0620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2016
Last Update Date	:	11/19/2018

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Directions to “ JASMINE CULWICK ” Practice Location

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