Provider Demographics
NPI:1699593707
Name:ASMAR, JACINTA MARY FRANCIS
Entity type:Individual
Prefix:MISS
First Name:JACINTA
Middle Name:MARY FRANCIS
Last Name:ASMAR
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 1:29896 NEWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1684
Mailing Address - Country:US
Mailing Address - Phone:248-504-1758
Mailing Address - Fax:
Practice Address - Street 1:29226 ORCHARD LAKE RD STE 290
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3062
Practice Address - Country:US
Practice Address - Phone:734-849-3957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician