Individual
JASMINE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5465 ABLE CT, MOBILE, AL 36693-3100
(251) 644-5938
Mailing address
5451 ABLE CT, MOBILE, AL 36693-3100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-234437
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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