Jasmine Tineo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

21586 Issued in NY

Practice address

3251 Third Ave Ste 302B
Bronx, NY 10456-6832

Phone

(718) 708-6043

Fax

(718) 708-6044

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kingscross Children Therapy and Autism Services

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1134501505
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1457837098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LAFAYETTE AVE APT 21B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732721",
            "telephone_number": "347-602-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 THIRD AVE STE 302B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566832",
            "telephone_number": "718-708-6043",
            "fax_number": "718-708-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINEO",
        "first_name": "JASMINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "21586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valoren Tinaj, DDS
• Fatou Agnes Tine, MD
• Gabriella Nicole Tinelli
• Andry Tineo
• Jaharia Tineo
• Jose Manuel Tineo, OTR
• Nohely Marie Tineo
• Andrea Tinio, M.D.
• Alanna Tinman, LMSW
• Jamiyla Tinsley

• Behavior Analyst in Bronx, NY
• Providers in Bronx, NY by specialty
• Behavior Analyst in New York

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