NPI 1053029884

Jazzmine Cross

Practitioner Behavior Technician Irmo, SC

Practice location

Address: 1084 Lake Murray Blvd, Irmo, SC 29063-2821
Phone: (706) 842-5330
Fax: (706) 842-5340
Mailing address: PO Box 2567, Augusta, GA 30903-2567

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-22-243582 (SC)

Other Behavior Technician providers in South Carolina →

Registry record

NPI: 1053029884
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2022
Record last updated: 10 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.