Jasmine Tate, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

541 Issued in LA

Practice address

21 Industrial Park Blvd BLDG a
Ponchatoula, LA 70454-8303

Phone

(985) 370-2300

NPI assigned

May 20, 2021

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

Practice roles

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.

• Strengthening Outcomes With Autism Resources

  • Hearing and Speech Clinic/Center
  • Madisonville, LA
  • NPI 1245641372
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1306411533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2623",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042623",
            "telephone_number": "985-687-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 INDUSTRIAL PARK BLVD BLDG A",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704548303",
            "telephone_number": "985-370-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18154 Woodscale Rd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704017850",
            "country_code": "US",
            "telephone_number": "985-687-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "JASMINE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Steward, LCSW
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• John Floyd Talley, R.PH.
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• Christelle Linda Tchonta Ngounou
• Skyler Elizabeth Terrell, LMSW
• Sabrina Anne Theriot, CSFA
• Davin Thomas
• Sandra C Thornhill, NP

• Behavior Analyst in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.