Individual
JASMINE S GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2699 COUNTY ROAD 46, ABBEVILLE, AL 36310-6364
(334) 798-2393
Mailing address
2699 COUNTY ROAD 46, ABBEVILLE, AL 36310-6364
(334) 798-2393
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB961800
AL
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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