Jazmine Smalls

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-269792 Issued in SC

Practice address

2810 Ashley Phosphate Rd Ste B11
North Charleston, SC 29418-6406

Phone

(843) 813-1538

Fax

(888) 813-3318

NPI assigned

Jun 14, 2023

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

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

• Crescent Child Development Services

  • Behavior Analyst
  • Mount Pleasant, SC
  • NPI 1356621817
  NPD (past)
• Crescent Child Development Services, LLC

  • Behavior Analyst
  • North Charleston, SC
  • NPI 1720514938
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1659055036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 GOVERNORS CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649257",
            "telephone_number": "843-813-1538",
            "fax_number": "888-813-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 ASHLEY PHOSPHATE RD STE B11",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186406",
            "telephone_number": "843-813-1538",
            "fax_number": "888-813-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "JAZMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-23-269792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ryan Skrabal, MD
• Sleepmed Therapies, Inc.
• Tanya Sloan, LPC
• Edwin F Slott, MD
• Shawn Patrick Sluss, PHARMD
• Latrice Smalls, RBT
• Smartcare Operations Group
• John Lee Smear, M.D.
• Smileology Dental Clinic, Inc.
• Madison Grace Smiley

• Behavior Technician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.