Active NPI
Jasmine Christina Monet Harris
- Behavior Technician
- West Hartford, CT
National Provider Identifier
1508424151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 028319614
- Practice address
- 98 Caya Ave Apt B2
West Hartford, CT 06110-1114 - Phone
- (860) 573-3841
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 028319614 | CT | Primary |
Addresses
Primary practice location
98 Caya Ave Apt B2
West Hartford, CT 06110-1114
Mailing address
PO Box 370141
West Hartford, CT 06137-0141
Phone (860) 573-3841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028319614 | CT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1508424151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370141",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061370141",
"telephone_number": "860-573-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 CAYA AVE APT B2",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101114",
"telephone_number": "860-573-3841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JASMINE",
"middle_name": "CHRISTINA MONET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": "028319614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.