Individual provider Active NPI

Jasmine Dursun, BCBA

  • Behavior Analyst
  • Allentown, PA
National Provider Identifier
1144993320
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44146 Issued in NU
Practice address
6990A Snowdrift Rd Ste 200
Allentown, PA 18106-9579
Phone
(610) 467-2067
NPI assigned
Jul 26, 2021
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-44146 NU Primary

Addresses

Primary practice location

6990A Snowdrift Rd Ste 200
Allentown, PA 18106-9579

Mailing address

2862 Crest Ave N
Allentown, PA 18104-6106
Phone (201) 273-3180

Other practice location 1

2862 Crest Ave N
Allentown, PA 18104-6106
Phone (201) 273-3180

Other identifiers 2

IdentifierTypeStateIssuer
1-20-44146OtherBEHAVIOR ANALYSIS CERTIFICATION BOARD
BH006241OtherPASTATE LICENSURE (LICENSED BEHAVIOR SPECIALIST)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4846 Park Glen Rd
St Louis Park, MN 55416-5702

6213 Whetstone Dr
McKinney, TX 75070-7815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Growth and Guidance ABA and Wellness, LLC Behavior Analyst CurrentSince Mar 11, 2025 Accepting new patients
Acorn Health, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1144993320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 CREST AVE N",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046106",
            "telephone_number": "201-273-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6990A SNOWDRIFT RD STE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069579",
            "telephone_number": "610-467-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2862 Crest Ave N",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181046106",
            "country_code": "US",
            "telephone_number": "201-273-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURSUN",
        "first_name": "JASMINE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-20-44146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "1-20-44146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE (LICENSED BEHAVIOR SPECIALIST)",
            "identifier": "BH006241",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.