Individual
JASMINE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ROSSMORE PL, AUGUSTA, GA 30909-5771
(706) 842-5330
(706) 842-5340
Mailing address
209 7TH ST FL 3, AUGUSTA, GA 30901-1486
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83662
GA
106S00000X
Behavior Technician
RBT-22-199829
GA
Other
Enumeration date
01/18/2022
Last updated
09/03/2025
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