Sara Tinnesz-Baskerville

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6339 Argyle Forest Blvd Ste 4
Jacksonville, FL 32244-6601

Phone

(904) 563-5875

Fax

(904) 696-9868

NPI assigned

Mar 21, 2018

Last updated

Aug 23, 2024By the provider in NPPES

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

Other names 1

• Ms. Sara Tinnesz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Behavior Builders, LLC

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1871939280
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1942704218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COUNTY ROAD 210 WEST",
            "address_2": "SUITE 108, PMB 169",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322596601",
            "telephone_number": "904-563-5875",
            "fax_number": "904-696-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 ARGYLE FOREST BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446601",
            "telephone_number": "904-563-5875",
            "fax_number": "904-696-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNESZ-BASKERVILLE",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "TINNESZ",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gemma Tingson
• Joseph Tingson
• Courtney Delaney Tingwall
• Ariel N Tinker, LCSW
• Gordon F Tinley
• Marquita Lashell Tinney
• Tinnitus & Misophonia Treatment Center, LLC
• Kanani Tinsay
• Meredith Tinti, MD
• Tiny Prints ABA Services LLC

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.