Jasmine Ann Thattil

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-204778 Issued in MD

Practice address

1125 Opal CT
Hagerstown, MD 21740-5934

Phone

(301) 703-9923

NPI assigned

Mar 1, 2022

Last updated

Aug 20, 2024By the provider in NPPES

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adaptive Teaching and Learning Autism Services

  • Behavior Analyst
  • Frederick, MD
  • NPI 1073101267
  NPD

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1649926411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10726 LIBERTY RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217012630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405934",
            "telephone_number": "301-703-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 W Patrick St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014030",
            "country_code": "US",
            "telephone_number": "301-882-7932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THATTIL",
        "first_name": "JASMINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-22-204778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Terrelonge
• Nicholas Terzulli, PTA
• Lauren Teter, PA-C
• Mark R Teunis Sr., OD
• Gunvant K Thaker, M.D.
• The Arc of Washington County, Inc.
• The Art Room Center for Creative Healing LLC
• The Aslan Center of Maryland
• The Children's Doctor
• The Children's Doctor

• Behavior Technician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.