Provider Demographics
NPI:1255976502
Name:RAMPASSARD, JAZMIN R
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:R
Last Name:RAMPASSARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9103 WATER CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-5309
Mailing Address - Country:US
Mailing Address - Phone:860-367-5297
Mailing Address - Fax:
Practice Address - Street 1:3109 W DR MLK BLVD STE 500
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6220
Practice Address - Country:US
Practice Address - Phone:813-371-0549
Practice Address - Fax:800-899-9525
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst