Provider Demographics
NPI:1790651404
Name:AUSOME KULTURE BEHAVIORAL, LLC
Entity type:Organization
Organization Name:AUSOME KULTURE BEHAVIORAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:561-232-0492
Mailing Address - Street 1:1522 LAKE CRYSTAL DR APT B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2081
Mailing Address - Country:US
Mailing Address - Phone:561-232-0492
Mailing Address - Fax:
Practice Address - Street 1:1522 LAKE CRYSTAL DR APT B
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2081
Practice Address - Country:US
Practice Address - Phone:561-232-0492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty