Wallace, Jasmine Juanita

Wallace, Jasmine Juanita is an sole proprietor health care provider with primary practice located at 2500 Springdale Blvd Apt G214 , Palm Springs FL 33461-6352. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Wallace, Jasmine Juanita can be contacted via phone (919) 696-5669.

Contact Information

Primary practice address
2500 Springdale Blvd Apt G214 Palm Springs FL 33461-6352
Phone: (919) 696-5669
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1346023868
LBN Legal business name Wallace, Jasmine Juanita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2023
Last updated Sep 18th, 2023 - about 2 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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