Active NPI
Teri Beth Jasman, BCBA
- Behavior Analyst
- San Pablo, CA
National Provider Identifier
1609760677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-1621291
- Practice address
- 4138 Lakeside Dr
San Pablo, CA 94806-1941 - Phone
- (510) 717-1719
- NPI assigned
- Jun 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-1621291 | CA | Primary |
Addresses
Primary practice location
4138 Lakeside Dr
San Pablo, CA 94806-1941
Mailing address
5544 Merriewood Dr
Oakland, CA 94611-2133
Phone (510) 717-1719
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 |
|---|---|---|---|
| 1-1621291 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1609760677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5544 MERRIEWOOD DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112133",
"telephone_number": "510-717-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4138 LAKESIDE DR",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948061941",
"telephone_number": "510-717-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASMAN",
"first_name": "TERI",
"middle_name": "BETH",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-1621291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.