Individual provider Active NPI

Jazmyne Lei Jenness Kinchen III

  • Behavior Technician
  • Spokane, WA
National Provider Identifier
1104709575
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1720 N Hamilton St
Spokane, WA 99207-2474
Phone
(866) 240-0808
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1720 N Hamilton St
Spokane, WA 99207-2474

Mailing address

2801 S Grand Blvd Apt 4
Spokane, WA 99203-2562
Phone (509) 850-7758

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

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1104709575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S GRAND BLVD APT 4",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032562",
            "telephone_number": "509-850-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N HAMILTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072474",
            "telephone_number": "866-240-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNESS KINCHEN",
        "first_name": "JAZMYNE",
        "middle_name": "LEI",
        "name_prefix": "Ms.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.