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NPI Code Detail

MEDICARE: JASMINE NICOLE PRATT

MEDICARE:   JASMINE NICOLE PRATT
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 : 1992678379
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NICOLE PRATT
Provider Business Mailing Address
First Line : 8200 PALM ST APT 304
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8200 PALM ST APT 304
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-4504
Country : US
Telephone Number : 504-292-4841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2025
Last Update Date : 09/24/2025

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Directions to “ JASMINE NICOLE PRATT ” Practice Location

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