Provider Demographics
NPI:1144993320
Name:DURSUN, JASMINE (BCBA)
Entity type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:
Last Name:DURSUN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2862 CREST AVE N
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6106
Mailing Address - Country:US
Mailing Address - Phone:201-273-3180
Mailing Address - Fax:
Practice Address - Street 1:6990A SNOWDRIFT RD STE 200
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9579
Practice Address - Country:US
Practice Address - Phone:610-467-2067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-20-44146103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABH006241OtherSTATE LICENSURE (LICENSED BEHAVIOR SPECIALIST)
1-20-44146OtherBEHAVIOR ANALYSIS CERTIFICATION BOARD