Jasmine Celina Smith, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-72841 Issued in IN

Practice address

2916 Peach Blossom Dr Ste 104
Jeffersonville, IN 47130-8380

Phone

(812) 202-6144

Fax

(866) 399-0057

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Adaptive Community Support Services Inc

  • Developmentally Disabled Services Day Training Agency
  • New Albany, IN
  • NPI 1770970576

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1932774833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 E MAIN ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505764",
            "telephone_number": "502-287-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 PEACH BLOSSOM DR STE 104",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308380",
            "telephone_number": "812-202-6144",
            "fax_number": "866-399-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Liberty Bank Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225756",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASMINE",
        "middle_name": "CELINA",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-24-72841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ew Smith, MD
• Dennis N. Smith, MD
• Ebony Smith, RBT
• Heather Smith
• James Edward Terrell Smith, D.M.D.
• Jillian Faith Smith, FNP
• Sydney Smith, RBT
• Tori Smith
• Tremaine Smith
• SN Kentuckiana Rehab, LLC

• Behavior Analyst in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.