Thacker, Jasmine

Thacker, Jasmine is an individual health care provider with primary practice located at 17235 N 75Th Ave Suite G-120, Glendale AZ 85308-0831. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Thacker, Jasmine can be contacted via phone (303) 989-8169.

Contact Information

Primary practice address
17235 N 75Th Ave Suite G-120 Glendale AZ 85308-0831
Phone: (303) 989-8169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1174290407
LBN Legal business name Thacker, Jasmine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2021
Last updated Aug 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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