Active NPI
Tinashia Wilkins
- Behavior Analyst
- Fort Mill, SC
National Provider Identifier
1619468055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-31333
- Practice address
- 1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035 - Phone
- (704) 654-8599
- NPI assigned
- May 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 17-40036 | SC | |
| Behavior Analyst | 103K00000X | 1-18-31333 | NC | Primary |
Addresses
Primary practice location
1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035
Mailing address
1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035
Phone (704) 654-8599
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17-40036 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1619468055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1698 HIGHWAY 160 W STE 240",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088035",
"telephone_number": "704-654-8599",
"fax_number": "336-642-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 HIGHWAY 160 W STE 240",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088035",
"telephone_number": "704-654-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "TINASHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "17-40036",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-18-31333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.