Active NPI
Tanea L Kinkead, M.A., BCBA, LBA
- Behavior Analyst
- Vandalia, IL
National Provider Identifier
1245708122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-56513
- Practice address
- 430 S 7TH St
Vandalia, IL 62471-2734 - Phone
- (618) 339-1063
- NPI assigned
- Nov 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 152.001085 | IL | |
| Behavior Analyst | 103K00000X | 1-21-56513 | Primary |
Addresses
Primary practice location
430 S 7TH St
Vandalia, IL 62471-2734
Mailing address
430 S 7TH St
Vandalia, IL 62471-2734
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017005989 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Brightside of Behavior | Behavior Analyst | Current | Accepting new patients |
| Acorn Health of Illinois, LLC | Behavior Analyst | Past | Accepting new patients |
Locations
1616 Veterans Ave
Vandalia, IL 62471
Phone (618) 698-0734
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Vandalia, IL
- NPI 1922755388
-
- Behavior Analyst
- O Fallon, IL
- NPI 1144867854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1245708122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 S 7TH ST",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624712734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S 7TH ST",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624712734",
"telephone_number": "618-339-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINKEAD",
"first_name": "TANEA",
"middle_name": "L",
"credential": "M.A., BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "152.001085",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-56513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vandalia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.