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

Jazmine L Church

Individual provider Behavior Technician · NPI 1104635440

Jazmine L Church is a Behavior Technician in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

11602 N 51st St
Tampa, FL 33617-2132
Phone: (863) 581-1583
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-381960 (FL)

Record details

NPI number1104635440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2025
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing addressPo Box 2112, Lakeland, FL 33806-2112

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