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Jasmine Andrus

Behavior Technician in Melbourne, FL. Individual provider (NPI-1).

NPI number1346010089
StatusActive
Last updated in NPPESJan 4, 2024

Details

NPI
1346010089
Entity type
Individual (NPI-1)
Name
Jasmine Andrus
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2024
Certification date
Jan 4, 2024
Last updated
Jan 4, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1535 W Nasa Blvd # C-1
Melbourne, FL 32901-2614

Phone 321-235-6199

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Melbourne, FL

All 670 Behavior Technician providers in Melbourne · All 6,122 providers in Melbourne

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