Amezcua, Jasmine
Amezcua, Jasmine is an individual health care provider with primary practice located at 12650 N Beach St Ste 146 , Fort Worth TX 76244-4253. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Amezcua, Jasmine can be contacted via phone (682) 238-1872.Contact Information
Primary practice address
12650 N Beach St Ste 146
Fort Worth TX 76244-4253
Phone: (682) 238-1872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-24-337466 |
Profile Details
| NPI number | 1740035112 |
|---|---|
| LBN Legal business name | Amezcua, Jasmine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2024 |
| Last updated | Apr 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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