Provider Demographics
NPI:1730658832
Name:ASBERRY, JASMYNE LA'SHON (RBT)
Entity Type:Individual
Prefix:
First Name:JASMYNE
Middle Name:LA'SHON
Last Name:ASBERRY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:JASMYNE
Other - Middle Name:LA'SHON
Other - Last Name:REEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:306 WYNN DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-1961
Mailing Address - Country:US
Mailing Address - Phone:256-882-2457
Mailing Address - Fax:256-882-2459
Practice Address - Street 1:306 WYNN DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-1961
Practice Address - Country:US
Practice Address - Phone:256-882-2457
Practice Address - Fax:256-882-2459
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician