Individual
JASMINE LAREATH RUFINO BROTHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3407 TRIANA BLVD SW, HUNTSVILLE, AL 35805-4641
(833) 747-4222
Mailing address
27011 MCLEMORE CIR, HARVEST, AL 35749-7131
(575) 640-9895
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1435576
AL
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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