Individual
JASMINE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2427 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3980
(270) 936-7472
Mailing address
1418 HOLMES AVE, BOWLING GREEN, KY 42104-3218
(615) 359-6638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-537477
KY
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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