Jasmine-Jade Unique Shropshire
Behavior Technician in Youngtown, AZ. Individual provider (NPI-1).
NPI number1043049752
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1043049752
- Entity type
- Individual (NPI-1)
- Name
- Jasmine-Jade Unique Shropshire
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2024
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12440 N 113th Ave Apt 219Youngtown, AZ 85363-1143
Phone 480-208-5269
Mailing address
12440 N 113th Ave Apt 219Youngtown, AZ 85363-1143
Phone 480-208-5269
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