Individual provider Active NPI

Kristine Mina Minteer, BCBA

  • Behavior Analyst
  • Lithia, FL
National Provider Identifier
1902380066
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
10560 Browning Rd
Lithia, FL 33547-3853
Phone
(813) 689-6819
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

10560 Browning Rd
Lithia, FL 33547-3853

Mailing address

11525 Destination Dr Apt 2207
Broomfield, CO 80021-4773
Phone (619) 632-7380

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge the Divide LLC Behavior Analyst CurrentSince Feb 2, 2025 Accepting new patients
Soar Health, Inc. Behavior Analyst Past Accepting new patients

Locations

10560 Browning Rd
Lithia, FL 33547
Phone (813) 687-4802

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1902380066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 DESTINATION DR APT 2207",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800214773",
            "telephone_number": "619-632-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 BROWNING RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473853",
            "telephone_number": "813-689-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTEER",
        "first_name": "KRISTINE",
        "middle_name": "MINA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.