Individual provider Active NPI

Tanisha Okonji, M.ED, RBT

  • Behavior Analyst
  • Orange Park, FL
National Provider Identifier
1811555220
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-45941
Practice address
3707 Silver Bluff Blvd
Orange Park, FL 32065-4238
Phone
(904) 450-9390
NPI assigned
May 31, 2019
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Technician 247000000X RBT-19-87832 FL
Behavior Analyst 103K00000X 1-20-45941 Primary

Addresses

Primary practice location

3707 Silver Bluff Blvd
Orange Park, FL 32065-4238

Mailing address

3707 Silver Bluff Blvd
Orange Park, FL 32065-4238
Phone (904) 450-9390

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tanisha.okonji@yahoo.com

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 Education

State licenses

LicenseStateTypeSpecialty
RBT-19-87832FLMDHealth Information Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapy Group Behavior Analyst Current Accepting new patients
Aspire Haven Group Homes Behavior Analyst Current Accepting new patients
Aspire Haven Group Homes LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1811555220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 SILVER BLUFF BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320654238",
            "telephone_number": "904-450-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 SILVER BLUFF BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320654238",
            "telephone_number": "904-450-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONJI",
        "first_name": "TANISHA",
        "name_prefix": "Mrs.",
        "credential": "M.ED, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "FL",
            "license": "RBT-19-87832",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-45941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tanisha.okonji@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "location",
            "address_1": "3707 Silver Bluff Blvd",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320654238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.