Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jasmyne Star Gustafson

Individual provider Behavior Technician · NPI 1801639919

Jasmyne Star Gustafson is a Behavior Technician in Anoka, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3401 Round Lake Blvd NW
Anoka, MN 55303-3315
Phone: (952) 247-3581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1801639919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

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