Individual provider Active NPI

Jazmine Hughes

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1164044954
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-66907 Issued in GA
Practice address
2121 Newmarket Pkwy SE Ste 130
Marietta, GA 30067-9309
Phone
(678) 486-1911
Fax
(317) 520-8200
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 1-23-66907 GA Primary

Addresses

Primary practice location

2121 Newmarket Pkwy SE Ste 130
Marietta, GA 30067-9309

Mailing address

3829 Hollywood Blvd Ste D
Hollywood, FL 33021-6790
Phone (954) 367-3600

Other practice location 1

3829 Hollywood Blvd Ste D
Hollywood, FL 33021-6790
Phone (954) 367-3600

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

OrganizationSpecialtyStatusNew patients
Family Enrichment Behavioral Health Services Inc Behavior Analyst CurrentSince Jul 24, 2022 Accepting new patients

Locations

3829 Hollywood Blvd
Ste D
Hollywood, FL 33021
Phone (954) 367-3600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1164044954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 HOLLYWOOD BLVD STE D",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216790",
            "telephone_number": "954-367-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NEWMARKET PKWY SE STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679309",
            "telephone_number": "678-486-1911",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3829 Hollywood Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216790",
            "country_code": "US",
            "telephone_number": "954-367-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JAZMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-66907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.