DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JASMINE SMITH-PONCE

MEDICARE: JASMINE SMITH-PONCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1659221000
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE SMITH-PONCE
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 12409 W INDIAN SCHOOL RD STE B210
Second Line :
City : AVONDALE
State : AZ
Zip : 85392-9505
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

Similar Medicare Providers

1215887781 — GUADALUPE ARGUELLES MONDACA
Practice Location Address:
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
85392-9505
Practice Phone: 855-223-7123
Practice Fax:
1114877685 — TI'ARA MINATEE
Practice Location Address:
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
85392-9505
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134
1053261529 — AMBER HERRERA
Practice Location Address:
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
85392-9505
Practice Phone: 855-223-7123
Practice Fax:
1043160567 — JAHNEISHA MAJOR
Practice Location Address:
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
85392-9505
Practice Phone: 855-223-7123
Practice Fax:
1700736196 — JADE SKOUSEN
Practice Location Address:
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
85392-9505
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134
1326999731 — MEGHAN OEVERNDIEK
Practice Location Address:
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
85392-9505
Practice Phone: 855-223-7123
Practice Fax:

Directions to “ JASMINE SMITH-PONCE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.