Jasmine-Jade Unique Shropshire
Individual provider Active NPI Behavior Technician · Youngtown, AZ
NPI 1043049752 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1043049752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12440 N 113TH Ave Apt 219
Youngtown, AZ 85363-1143 - Phone
- (480) 208-5269
- NPI assigned
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
12440 N 113TH Ave Apt 219
Youngtown, AZ 85363-1143
Mailing address
12440 N 113TH Ave Apt 219
Youngtown, AZ 85363-1143
Phone (480) 208-5269
Other providers in Youngtown, AZ
- Karina L Robledo
- Raul Sanchez
- Sandoval Consulting PLLC
- Bettie Segura
- Sethi Cardiology PLLC
- Sierra Land
- Sonora Home Health PLLC
- Ventana Winds LLC
- Vishal Patel MDPC
- Kristin E Walker
All providers in Youngtown, AZ · Behavior Technician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.