Provider Demographics
NPI:1437515640
Name:NAND, JASMINE JESSICA
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:JESSICA
Last Name:NAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:JESSICA
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3268 SHADOW PARK PL
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1781
Mailing Address - Country:US
Mailing Address - Phone:510-461-2783
Mailing Address - Fax:
Practice Address - Street 1:3268 SHADOW PARK PL
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1781
Practice Address - Country:US
Practice Address - Phone:510-461-2783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst