Individual provider Active NPI

Jazmine Toria McDuffie

  • Behavior Technician
  • Minot, ND
National Provider Identifier
1922780949
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-284443 Issued in ND
Practice address
100 Main St S
Minot, ND 58701-3914
Phone
(701) 389-9363
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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-23-284443 ND Primary

Addresses

Primary practice location

100 Main St S
Minot, ND 58701-3914

Mailing address

100 Main St S
Minot, ND 58701-3914
Phone (701) 389-9363

Other names 1

  • Jazmine Toria Dorsey Former name

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

State licenses

LicenseStateTypeSpecialty
RBT-23-284443NDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Behavioral Services Behavior Technician CurrentSince Aug 6, 2023 Accepting new patients
Elise Felicio Behavior and Education Services PLLC Behavior Technician CurrentSince Aug 6, 2023 Accepting new patients

Locations

100 Main St S
Minot, ND 58701
Phone (701) 389-9363

Organizations & group practices 2

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1922780949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST S",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013914",
            "telephone_number": "701-389-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST S",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013914",
            "telephone_number": "701-389-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFIE",
        "first_name": "JAZMINE",
        "middle_name": "TORIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ND",
            "license": "RBT-23-284443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZMINE",
            "last_name": "DORSEY",
            "middle_name": "TORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.