Jasmine Cheatom
Individual provider Active NPI Behavior Technician · Clermont, FL
NPI 1346028792 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1346028792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 17335 Pagonia Rd Ste 109
Clermont, FL 34711-6011 - Phone
- (407) 602-4299
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
17335 Pagonia Rd Ste 109
Clermont, FL 34711-6011
Mailing address
17335 Pagonia Rd Ste 109
Clermont, FL 34711-6011
Phone (407) 602-4299
Other providers in Clermont, FL
- Wielca Charles
- Cherelle Lavora Charneco
- Linda S Chatelier
- Eric M Chatman
- Rahila N Chaudhry
- Gilles Chemtob
- Peter S Chen
- Thomas Cheng
- Kevin Cheung
- Anastasia Chieffallo
All providers in Clermont, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.