Aurele M Tiogouong Mafouo, ATM

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

652326-DD00296558 Issued in OH

Practice address

4869 Kingshill Dr Apt 209
Columbus, OH 43229-6263

Phone

(443) 410-8102

NPI assigned

Jan 6, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1174332084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 KINGSHILL DR APT 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296263",
            "telephone_number": "443-410-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 KINGSHILL DR APT 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296263",
            "telephone_number": "443-410-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIOGOUONG MAFOUO",
        "first_name": "AURELE",
        "middle_name": "M",
        "credential": "ATM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "652326-DD00296558",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "652326-DD00296558",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "652326-DD00296558",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "OH",
            "license": "652326-DD00296558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Sharon Ann Tinkle, PA
• Sydney Peyton Tino, AA
• Gabriel Ricardo Tinoco Suarez, M.D.
• Pamela P Tinsley, LPC
• Tiny Giants O.T. LLC
• Brandon Allan Tippie
• Breanna Tipple
• Rhonda P Tipple, C.R.N.A.
• Trent Edward Tipple, MD
• Olivia Tipsword

• Assisted Living Facility (Behavioral Disturbances) in Columbus, OH
• Providers in Columbus, OH by specialty
• Assisted Living Facility (Behavioral Disturbances) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.