Jazmin Octavia Summerise
Assistant Behavior Analyst
777 Joyce Rd
Joliet
, Illinois 60436-1876
Jazmin Octavia Summerise
Assistant Behavior Analyst
777 Joyce Rd
Joliet
, Illinois 60436-1876
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Jazmin Octavia Summerise
- 777 Joyce Rd
- Joliet, IL
- Zip : 60436-1876
- Phone :
Second Address
- Jazmin Octavia Summerise
- 777 Joyce Rd
- Joliet, IL
- Zip : 60436-1876
- Phone : (708) 543-1339
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst |
National Provider Identifier
| NPI | 1124602800 |
|---|---|
| Provider Name | Jazmin Octavia Summerise |
| First Address | Joliet, IL 60436-1876 |
| Second Address | Joliet, IL 60436-1876 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
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.