Amanda Marie Hineline

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412

Phone

(480) 416-6985

NPI assigned

Mar 1, 2016

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illuminate Behavioral Consulting, LLC

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1336928134
  NPD Authorized official
• Northwest Behavioral Associates

  • Specialist
  • Bellevue, WA
  • NPI 1861615122
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1063872208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 E MAYO BLVD UNIT 2208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545689",
            "telephone_number": "206-799-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026412",
            "telephone_number": "480-416-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINELINE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Hilson, FNP-BC
• Gary Hinchman
• Mark Raymond Hinde
• Adrian Leigh Hindes, MS CCC SLP
• Yousef Mohammed Hindi, MD
• Georgina Hines, FNP-C
• Lisa Marie Hines, MS,CCC/SLP
• Stephanie Marie Hines, PHARMD
• Katelin Ellen Hink, SLPA
• Alec Hinson, DMD

• Behavior Analyst in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.