Jasmine Nubin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

21-164102 Issued in FL

Practice address

3200 S Hiawassee Rd Suite 203
Room 1317
Orlando, FL 32835-1817

Phone

(321) 972-4039

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1417307075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17134 GATHERING PLACE CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118596",
            "telephone_number": "407-456-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S HIAWASSEE RD SUITE 203",
            "address_2": "ROOM 1317",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328351817",
            "telephone_number": "321-972-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUBIN",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "21-164102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NP Impact Group LLC
• Nsi Orlando, LLC
• NSJ Home Care Agency
• Nspire Training & Development Center
• Mustafa Nuaimi, MD
• Susan Clay Nuckols, LMFT
• Nuestro Chiropractic Center (Physiocare Medical and Wellness Center)
• Nueva Era Hyperbarics Solutions, LLC
• Dianne Marie Nugent, APRN
• Hans Kristian Nugraha, MD

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.