Tiara J Jenkins

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

D8348279 Issued in CA

Practice address

1025 Atlantic Ave
Alameda, CA 94501-1189

Phone

(510) 491-6000

NPI assigned

Jul 10, 2019

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

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1568014538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 100TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946032615",
            "telephone_number": "510-491-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ATLANTIC AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011189",
            "telephone_number": "510-491-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 100th Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946032615",
            "country_code": "US",
            "telephone_number": "510-491-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TIARA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "D8348279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne DO-Reynoso Jaramillo
• Lydia Jardine, RDH
• Carolyn Jaucotrott, MPH
• Yulan Jean
• Jeffrey Levy MD Apc
• Kale Thomas Jenks, MA
• Eleanor Jenner
• Dwight Erwin Jennings, DDS
• David H Jew, O.D.
• Jonathan D Jiang, OTR/L

• Behavior Analyst in Alameda, CA
• Providers in Alameda, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.