Jasmin Campos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

214 Estates Dr Ste a
Roseville, CA 95678-2353

Phone

(916) 749-4646

NPI assigned

Jul 14, 2021

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

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.

• Building Blocks Behavior Consultants

  • Community/Behavioral Health Agency
  • Roseville, CA
  • NPI 1417245218
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1760054191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ESTATES DR STE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782353",
            "telephone_number": "916-749-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ESTATES DR STE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782353",
            "telephone_number": "916-749-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "JASMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher L Campbell, D.O.
• Grant McKenzie Campbell, MD
• Katherine M Campbell, M.A.
• Matthew Campbell
• Trevor David Campbell, DO
• Campus Commons Physical Therapy
• Dina Marie Canavero, MEDICAL DOCTOR
• Michelle Ann-Marie Canete
• John B. Canio, M.D.
• Douglas Ocampo Canlas II, M.D.

• Behavior Technician in Roseville, CA
• Providers in Roseville, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.