Most Relevant Information
Provider Data
| NPI Number: | 1003552886 |
| Provider Name: | JASMINE JOHNSON BT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/05/2022 |
| Last Updated: | 02/27/2023 |
Provider Practice Location
4201 N SERVICE RD W
METARIE
LA
70006
Practice Location Phone/Fax
| Phone: | 5044002903 |
| Fax: |
Provider Mailing Location
4201 N SERVICE RD W.
METARIE
LA
70006
Provider Mailing Phone/Fax
| Phone: | 5044002903 |
| Fax: |