JASMINE SHENICE MARTIN (NPI# 1790250330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790250330 |
| Entity Type | Individual |
| Full Name | JASMINE SHENICE MARTIN |
| Practice Address |
920 Blairhill Rd Charlotte NC 28217-1565 |
| Mailing Address |
131 Belmont Ridge Dr Garner NC 27529-4086 |
| Practice Telephone | 7042091021 |
| Practice Fax Number | 9802032170 |
| Mailing Telephone | 9196028862 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376984245 | Jasmine Monique Martin | Licensed Practical Nurse | 123 Baumann St, Rochester, NY 14621-3648 | 2013-07-08 |
| 1740421403 | Jasmine Rosemarie Martin | Nurse Practitioner | 1921 W Sanibel Ct, Littleton, CO 80120-8133 | 2009-03-10 |
| 1881211514 | Jasmine L. Martin | Counselor | 71 Union Ave, Rutherford, NJ 07070-1274 | 2020-06-29 |
| 1730728072 | Jasmine Martin | Case Manager/Care Coordinator | 11616 Southfork Ave, Baton Rouge, LA 70816-5241 | 2020-01-03 |
| 1366097339 | Jasmine Martin | Pharmacist | 600 S Palestine St, Athens, TX 75751-3310 | 2019-08-07 |
| 1386298487 | Jasmine L Martin | Case Manager/Care Coordinator | 2111 S 7th St, Ironton, OH 45638-2538 | 2019-07-26 |
| 1801331558 | Jasmine Martin | Marriage & Family Therapist | 1320 Louisiana Ave, Saint Cloud, FL 34769-4116 | 2017-01-04 |
| 1972047595 | Jasmine Martin | Physical Therapist | 2290 Se Bristol St, Newport Beach, CA 92660-0746 | 2016-12-16 |
| 1821540709 | Jasmine Martin | Behavior Technician | 9651 W 153rd St, Suite 54, Orland Park, IL 60462-3773 | 2016-10-26 |
| 1972959401 | Jasmine Martin | Student in an Organized Health Care Education/Training Program | 100 N Academy Ave, Danville, PA 17822 | 2016-05-13 |
| Street Address |
920 BLAIRHILL RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811433386 | Stonebraker's Inc. | Counselor | 920 Blairhill Rd, Ste B-103, Charlotte, NC 28217-1565 | 2017-01-09 |
| 1821563743 | Zelma Rankin | Behavior Technician | 920 Blairhill Rd, Charlotte, NC 28217-1565 | 2018-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| Find all providers in zip 28217 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577244 | Jennifer Brickman | Behavior Technician | 905 Kenilworth Ave Apt 226, Charlotte, NC 28204-2947 | 2020-11-01 |
| 1578162475 | Jaquetta Mcpherson | Behavior Technician | 650 E Stonewall St Apt 435, Charlotte, NC 28202-3416 | 2020-10-21 |
| 1922614270 | Kalessa Grigsby | Behavior Technician | 3510 Frew Rd Apt H, Charlotte, NC 28206-4990 | 2020-09-22 |
| 1851907125 | Kayla Tyson-cardona | Behavior Technician | 13420 Cedar Farm Rd Apt 302, Charlotte, NC 28278-7543 | 2020-09-21 |
| 1558971333 | Danielle C Tain | Behavior Technician | 3443 Twelve Oaks Pl, Charlotte, NC 28270-4432 | 2020-08-05 |
| 1558971465 | Leah Danielle Dunn | Behavior Technician | 8307 University Exec Park Dr Ste 231, Charlotte, NC 28262-1381 | 2020-08-05 |
| 1255959854 | Catherine Danielle Rivers | Behavior Technician | 6647 Kemp St, Charlotte, NC 28213-5629 | 2020-07-09 |
| 1215552237 | Evelyn A Bailey | Behavior Technician | 2301 Lawry Run Dr Apt 402, Charlotte, NC 28273-3495 | 2020-06-15 |
| 1770107971 | Robert L Mckinstry | Behavior Technician | 7046 Markway Dr, Charlotte, NC 28215-3577 | 2020-06-03 |
| 1982238655 | Aleta Fraser | Behavior Technician | 10931 Pimlico Dr, Charlotte, NC 28273-7712 | 2020-03-02 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.