Active NPIIndividual provider

Jasmine Ellison

Behavior Technician in Revere, Massachusetts

NPI Number1417614512
Practice location
135 Ward St Apt 106, Revere, MA 02151-1316
Fax
—
Last updated
November 23, 2021

Jasmine Ellison is a Behavior Technician based in Revere, MA. Jasmine Ellison practices in Revere, MA. The NPI Number for Jasmine Ellison is 1417614512. The current practice location address for Jasmine Ellison is 135 Ward St Apt 106, Revere, MA 02151-1316 and can be reached out via phone at 617-806-6821.

Provider Profile Details

NPI Number
1417614512
Provider Name
Jasmine Ellison
Provider Entity Type
Individual
Gender
Female
Address
135 Ward St Apt 106, Revere, MA 02151-1316
Phone Number
617-806-6821
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2021
Last Update Date
November 23, 2021
Certification Date
November 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Ward St Apt 106
Revere, MA 02151-1316
City
Revere
Zip
02151-1316
Phone Number
617-806-6821
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
135 Ward St Apt 106
Revere, MA 02151-1316
City
Revere
State
MA
Zip
02151-1316

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jasmine Ellison?

The NPI number of Jasmine Ellison is 1417614512. It was assigned on November 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Jasmine Ellison?

Jasmine Ellison is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Jasmine Ellison practice?

The practice location is 135 Ward St Apt 106, Revere, MA 02151-1316. The office can be reached at 617-806-6821 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417614512 directly on the NPPES registry website.

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