Active NPI
Amanda R Tincknell, MS, BCBA, LBA
- Behavior Analyst
- Upperco, MD
National Provider Identifier
1548751472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 23 Thomas Shilling CT
Upperco, MD 21155-9334 - Phone
- (267) 377-7362
- NPI assigned
- May 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MD | Primary |
Addresses
Primary practice location
23 Thomas Shilling CT
Upperco, MD 21155-9334
Mailing address
1819 Cassandra Dr Unit 184
Sykesville, MD 21784-6896
Phone (267) 377-7362
Other practice location 1
8609 2nd Ave Ste 506B
Silver Spring, MD 20910-3362
Phone (240) 398-3514
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559433600000",
"number": "1548751472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 CASSANDRA DR UNIT 184",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217846896",
"telephone_number": "267-377-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 THOMAS SHILLING CT",
"city": "UPPERCO",
"state": "MD",
"postal_code": "211559334",
"telephone_number": "267-377-7362"
}
],
"practiceLocations": [
{
"address_1": "8609 2nd Ave Ste 506B",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209103362",
"country_code": "US",
"telephone_number": "240-398-3514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TINCKNELL",
"first_name": "AMANDA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-26",
"last_updated": "2019-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upperco, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.