NPI 1124602800

Jazmin Octavia Summerise, BSMS

Practitioner Assistant Behavior Analyst Joliet, IL

Practice location

Address: 777 Joyce Rd, Joliet, IL 60436-1876
Phone: (708) 543-1339

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1124602800
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2021
Record last updated: 10 May 2021

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.