Jasmine Lee Brooks

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1183370 Issued in TX

Practice address

3010 Illinois Ave Ste 100
Killeen, TX 76543-5374

Phone

(254) 432-7041

NPI assigned

Sep 19, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1184451478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 WALES DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765497932",
            "telephone_number": "254-423-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 ILLINOIS AVE STE 100",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435374",
            "telephone_number": "254-432-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JASMINE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "1183370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denisha Jessica Broadway
• Courtney Broady, MA, LPC
• Kenneth J Brock, D.O.
• Amanda Jane Brokke, CRNA
• Zoe Grace Bronwasser, RBT
• Jeffrey A Brooks, PA-C
• Emma Marie Broussard, NP
• Elizabeth Brown-Miller, BCBA, LBA
• Christian Elijah Brown
• Eleanor Lewis Brown, LPC

• Behavior Technician in Killeen, TX
• Providers in Killeen, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.