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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASMYNE STAR GUSTAFSON

Active Sole Proprietor

JASMYNE STAR GUSTAFSON is a Behavior Technician healthcare provider located in ANOKA, Minnesota. NPI 1801639919 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · ANOKA, MN

Registration Details

NPI Number
1801639919
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2024 (2.1636489644184 yrs)
Last Updated
Jun 17, 2024
Sole Proprietor
Yes

Practice Information

Address
3401 ROUND LAKE BLVD NW
ANOKA, MN, 553033315
Browse MN providers · Browse ZIP 55303
Phone
9522473581
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in ANOKA, MN

Name Credential NPI
MONET BROMLEY 1174135255
MS. SANDRA KOOB NTSAS VUE DIPLOMAS, DEGREE 1982339529
MICHAELA FREER 1174250393
DANIEL PINEDO 1801517222
ANNA JORGENSON 1700508330
BRITTANY CLONCH 1942927959
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.