Individual
JELISSA VASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBA
Contact information
Practice address
200 VESTAVIA PKWY, VESTAVIA, AL 35216-7715
(205) 490-5364
Mailing address
2789 COUNTY ROAD 65, VERBENA, AL 36091-2835
(334) 380-1740
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12148631
AL
Other
Enumeration date
03/27/2021
Last updated
10/21/2025
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