Individual provider Active NPI

T'Keyah Hines

  • Behavior Analyst
  • Lynchburg, VA
National Provider Identifier
1295404838
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133002102 Issued in VA
Practice address
1949 Thomson Dr
Lynchburg, VA 24501-1030
Phone
(434) 610-7087
Fax
(434) 266-0583
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133002102 VA Primary

Addresses

Primary practice location

1949 Thomson Dr
Lynchburg, VA 24501-1030

Mailing address

1949 Thomson Dr
Lynchburg, VA 24501-1030
Phone (434) 610-7087

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

State licenses

LicenseStateTypeSpecialty
0133002102VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence Based Classroom Solutions Behavior Analyst CurrentSince Sep 12, 2021 Accepting new patients

Locations

1949 Thomson Dr
Lynchburg, VA 24501
Phone (434) 610-7087

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1295404838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011030",
            "telephone_number": "434-610-7087",
            "fax_number": "434-266-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011030",
            "telephone_number": "434-610-7087",
            "fax_number": "434-266-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "T'KEYAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.