Jasmin S Putnam
Behavior Technician
3709 Citation Way Ste 102
Medford
, Oregon 97504-9022
Jasmin S Putnam
Behavior Technician
3709 Citation Way Ste 102
Medford
, Oregon 97504-9022
(505) 603-2744
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Jasmin S Putnam
- 583 Windsong Way
- Medford, OR
- Zip : 97504-9122
- Phone : (505) 603-2744
Second Address
- Jasmin S Putnam
- 3709 Citation Way Ste 102
- Medford, OR
- Zip : 97504-9022
- Phone : (541) 500-6532
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003423948 |
|---|---|
| Provider Name | Jasmin S Putnam |
| First Address | Medford, OR 97504-9122 |
| Second Address | Medford, OR 97504-9022 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2020 |
| Last Update Date | 24/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.