Most Relevant Information
Provider Data
| NPI Number: | 1003423948 |
| Provider Name: | JASMIN S PUTNAM RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/24/2020 |
| Last Updated: | 09/24/2020 |
Provider Practice Location
3709 CITATION WAY STE 102
MEDFORD
OR
975049022
Practice Location Phone/Fax
| Phone: | 5415006532 |
| Fax: |
Provider Mailing Location
583 WINDSONG WAY
MEDFORD
OR
975049122
Provider Mailing Phone/Fax
| Phone: | 5056032744 |
| Fax: |