Active NPI
Taisia Portal Starostina, BCBA
- Behavior Analyst
- Tampa, FL
National Provider Identifier
1033775424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA-1-2370462
- Practice address
- 8704 N Boulevard
Tampa, FL 33604-3360 - Phone
- (813) 841-2916
- NPI assigned
- May 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA-1-2370462 | FL | Primary |
Addresses
Primary practice location
8704 N Boulevard
Tampa, FL 33604-3360
Mailing address
8704 N Boulevard
Tampa, FL 33604
Phone (813) 841-2916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BCBA-1-2370462 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1033775424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8704 N BOULEVARD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33604",
"telephone_number": "813-841-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8704 N BOULEVARD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336043360",
"telephone_number": "813-841-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAROSTINA",
"first_name": "TAISIA",
"middle_name": "PORTAL",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-12",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "BCBA-1-2370462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.