Jazmyne Life

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

550 Wells Rd Ste 3
Orange Park, FL 32073-2950

Phone

(877) 823-4283

Fax

(352) 332-8589

NPI assigned

Jun 30, 2025

Last updated

Aug 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Behavior Analysis Support Services

  • Behavior Analyst
  • Orange Park, FL
  • NPI 1689381089
  NPD

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1750270302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE STE 1011",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015675",
            "telephone_number": "877-823-4283",
            "fax_number": "352-332-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WELLS RD STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732950",
            "telephone_number": "877-823-4283",
            "fax_number": "352-332-8589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7775 Baymeadows Way",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567570",
            "country_code": "US",
            "telephone_number": "904-831-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIFE",
        "first_name": "JAZMYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri S. Licini, MA, MAED., BCBA
• Samantha Licini
• Life Care Centers of America, Inc. (Life Care Center at Wells Crossing)
• Life Changing Solutions
• Life Changing Solutions
• Lifecare Solutions East Inc
• Lifetime Medical Care PA
• Lindsay Gabrielle Lightfoot, LCSW, LMSW
• Rayford Lightner IV, M.S.
• Angela Ligons

• Behavior Technician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.