Jasmine Williamson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12043473 Issued in IL

Practice address

745 Ela Rd
Lake Zurich, IL 60047-2337

Phone

(760) 484-8805

NPI assigned

Mar 9, 2018

Reactivated

Jul 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Autism Planet, LLC

  • Behavior Technician
  • Lake Zurich, IL
  • NPI 1457192312

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1215430913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472337",
            "telephone_number": "708-888-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472337",
            "telephone_number": "760-484-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "deactivation_date": "2024-06-20",
        "reactivation_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "12043473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Samuel F Walstrum, PT, DPT, ATC
• Allison Wells, M.A., CCC-SLP
• Mark Whitsitt, DPT
• Edwin R. Willgress, M.D.
• Wise Speech Connections PLLC
• Melissa Lynn Wise, MS SLP
• Women'S Physical Therapy Institute Inc.
• Brian Wood, LPC
• Joyce Wood, PA-C

• Behavior Analyst in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.