NPI 1629665583 · live from the CMS NPI Registry
Jasmine Blanks
Behavior Analyst in De Soto, MO. National Provider Identifier 1629665583, active.
NPI record
| NPI | 1629665583 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 801 W Kelley St, De Soto, MO 63020 |
| Practice phone | 636-222-8472 |
| Enumerated | December 27, 2020 |
| Last updated | December 27, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.