Jasmin S Putnam, RBT
Behavior Technician in Medford, OR. Individual provider (NPI-1).
NPI number1003423948
StatusActive
Last updated in NPPESSep 24, 2020
Details
- NPI
- 1003423948
- Entity type
- Individual (NPI-1)
- Name
- Jasmin S Putnam
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2020
- Certification date
- Sep 24, 2020
- Last updated
- Sep 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3709 Citation Way Ste 102Medford, OR 97504-9022
Phone 541-500-6532
Mailing address
583 Windsong WayMedford, OR 97504-9122
Phone 505-603-2744
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