Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jasmine Black

Individual provider Behavior Technician · NPI 1679002679

Jasmine Black is a Behavior Technician in Traverse City, Michigan. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1363 Douglas Dr Ste 104
Traverse City, MI 49696-8980
Phone: (231) 668-4909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1679002679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2017
Last updated in NPPESJune 5, 2017
Mailing address13920 S Cedar Rd, Traverse City, MI 49684-7802

Other providers in Traverse City