Individual provider Active NPI

Wana St Fleur Jasmin, RBT

  • Behavior Technician
  • West Palm Beach, FL
National Provider Identifier
1780375352
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-267121
Practice address
7711 N Military TRL Ste 1008
West Palm Beach, FL 33410-6506
Phone
(561) 480-1075
Fax
(561) 584-5836
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-267121 Primary

Addresses

Primary practice location

7711 N Military TRL Ste 1008
West Palm Beach, FL 33410-6506

Mailing address

4172 NW 54TH St
Coconut Creek, FL 33073-4000
Phone (754) 242-5596

Other identifiers 1

IdentifierTypeStateIssuer
RBT-23-267121OtherBACB

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Effects Inc. CurrentSince May 21, 2023 Accepting new patients

Locations

7711 N Military Trl
Ste 1008
West Palm Beach, FL 33410
Phone (561) 480-1075

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1780375352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 NW 54TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734000",
            "telephone_number": "754-242-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 N MILITARY TRL STE 1008",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106506",
            "telephone_number": "561-480-1075",
            "fax_number": "561-584-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASMIN",
        "first_name": "WANA",
        "middle_name": "ST FLEUR",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-23-267121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-23-267121",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

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