Provider Demographics
NPI:1194314351
Name:GRIFFIN, JASMINE JANEL (RBT)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:JANEL
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3552 FM 1092 RD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2203
Mailing Address - Country:US
Mailing Address - Phone:346-368-4412
Mailing Address - Fax:
Practice Address - Street 1:2900 N BRAESWOOD BLVD APT 1121
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2335
Practice Address - Country:US
Practice Address - Phone:708-261-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-20-138944106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician