Jeanine Tanz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11410404 Issued in FL

Practice address

5500 Murrell Rd Ste 100
Melbourne, FL 32940-6700

Phone

(321) 426-7759

Fax

(321) 593-0839

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Sonder Academy

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1023549680
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275916926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MURRELL ROAD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-426-7759",
            "fax_number": "321-593-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MURRELL RD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406700",
            "telephone_number": "321-426-7759",
            "fax_number": "321-593-0839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 S John Rodes Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329041093",
            "country_code": "US",
            "telephone_number": "321-241-1170",
            "fax_number": "321-281-3685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANZ",
        "first_name": "JEANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11410404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019720500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Talbot, PA-C
• Talkin' With Purpose, LLC
• Marissa Talley, RDH
• Sarah Helene Tamburri
• Holly Tanner, PT
• Alcides Tapia, PA
• Danielle M Tapley
• Robyn Tapley, PSY.D.
• Tasscia Women'S Health & Cosmetic Gynecology
• Debbie W Tasso, LCSW

• Behavior Analyst in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.