Jazmine L Church

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-381960 Issued in FL

Practice address

11602 N 51St St
Tampa, FL 33617-2132

Phone

(863) 581-1583

NPI assigned

Jan 2, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bright Start Possibility

  • Behavior Analyst
  • Doral, FL
  • NPI 1366993701
  NPD
• Applied Behavioral Learning Experiences, Inc

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1760627905
  NPD (past)
• Applied Behavioral Learning Experiences, Inc.

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831549674
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1104635440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338062112",
            "telephone_number": "863-581-1583",
            "fax_number": "863-644-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 N 51ST ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336172132",
            "telephone_number": "863-581-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JAZMINE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-381960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Chung, AA
• Lam T Chung, RPH
• Sook Yul Chung, AU.D., CCC-A
• Leah Rae Chunn, APRN
• Colleen Chuppe
• Kimberly E Church, PSYD
• Tarik N Church, ATC
• Alisha M Churchill, PT
• Shelly Churchill
• Wendy Churchill, DMD

• Behavior Technician in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.