Nina Lynne Deese, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8539 Gate Pkwy W Unit 9311
Jacksonville, FL 32216-1040

Phone

(904) 600-4664

NPI assigned

Jun 15, 2013

Last updated

Mar 17, 2018By the provider in NPPES

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

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.

• Pinnacle Behavior Therapy, LLC

  • Early Intervention Provider Agency
  • Jacksonville, FL
  • NPI 1013423201
  NPD (past) Authorized official
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Asheboro, NC
  • NPI 1669785614
  NPD (past)
• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Case Management Agency
  • Charlotte, NC
  • NPI 1922146877
  NPD (past)

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275972994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 GATE PKWY W UNIT 9311",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 GATE PKWY W UNIT 9311",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161040",
            "telephone_number": "904-600-4664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Hays St",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012833",
            "country_code": "US",
            "telephone_number": "850-521-0242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1406 Hays St",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012833",
            "country_code": "US",
            "telephone_number": "850-521-0242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEESE",
        "first_name": "NINA",
        "middle_name": "LYNNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena S. Richman PHD PA
• Deep Beauty LLC (Accessible Home Care Jacksonville)
• Deerwood Dental Group
• Deerwood Lake Chiropractic
• Deborah L Dees, MA, CCC-SLP
• Jessica Defazio, PA-C
• Michael Vincent Defazio, MD
• Define Wellness Chiropractic and Functional Medicine
• Robert Deflorio
• Kimberly Elizabeth Degelmann

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.