Jasmine Amezcua

Individual provider Active NPI Behavior Technician · Benbrook, TX

NPI 1740035112 · NPPES record last updated Sep 9, 2025

Key facts

NPI
1740035112
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-337466
Practice address
6220 Southwest Blvd
Benbrook, TX 76109-6906
Phone
(855) 223-7123
Fax
(619) 374-7134
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-337466 Yes

Addresses

Primary practice location

6220 Southwest Blvd
Benbrook, TX 76109-6906

Mailing address

PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123

Other providers in Benbrook, TX

All providers in Benbrook, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.