Jazmine Calloway
Behavior Technician in Melbourne, FL. Individual provider (NPI-1).
NPI number1619703410
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1619703410
- Entity type
- Individual (NPI-1)
- Name
- Jazmine Calloway
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5500 Murrell Rd Ste 100Melbourne, FL 32940-6700
Phone 321-426-7759
Mailing address
7500 San Felipe St Ste 990Houston, TX 77063-1708
Phone 866-610-0580 · Fax 866-611-1558
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