Active NPI
Jasmine Dionne
- Behavior Analyst
- Fayetteville, GA
National Provider Identifier
1003392051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-43217
- Practice address
- 126 Pavilion Pkwy
Fayetteville, GA 30214-4056 - Phone
- (770) 954-8988
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-43217 | GA | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
126 Pavilion Pkwy
Fayetteville, GA 30214-4056
Mailing address
2035 SW 75TH St Ste B
Gainesville, FL 32607-3425
Phone (352) 332-8588
Other practice location 1
2102 SW 20th Pl Ste 302
Ocala, FL 34471-0858
Phone (352) 332-8588 ext. 1
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Analysis Support Services, Inc | Behavior Analyst | Past | Accepting new patients |
| New Patterns FL LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Ocala, FL
- NPI 1033855770
-
- Behavior Analyst
- Monsey, NY
- NPI 1518561299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1003392051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 SW 75TH ST STE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326073425",
"telephone_number": "352-332-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 PAVILION PKWY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144056",
"telephone_number": "770-954-8988"
}
],
"practiceLocations": [
{
"address_1": "2102 SW 20th Pl Ste 302",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344710858",
"country_code": "US",
"telephone_number": "352-332-8588 x1",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIONNE",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-20-43217",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.