Individual provider Active NPI

Tara Ann Sines, M.S., BCBA, LBS

  • Behavior Analyst
  • Levittown, PA
National Provider Identifier
1962835736
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-13968 Issued in PA
Practice address
281 Magnolia Dr
Levittown, PA 19054-2043
Phone
(267) 285-3288
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH003453 PA
Behavior Analyst 103K00000X 1-13-13968 PA Primary

Addresses

Primary practice location

281 Magnolia Dr
Levittown, PA 19054-2043

Mailing address

281 Magnolia Dr
Levittown, PA 19054-2043
Phone (267) 285-3288

Other identifiers 4

IdentifierTypeStateIssuer
1-13-13968OtherPABEHAVIOR ANALYST CERTIFICATION BOARD
147310OtherPADEPARTMENT OF HUMAN SERVICES- INTENSIVE BEHAVIOR HEALTH SERVICES LICENSE
BH003453OtherPASTATE BOARD OF MEDICINE
1038553590001MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Tara@pieceofourpuzzle.com Piece of Our Puzzle LLC
Direct Messaging Address operations@adapt-connect.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 Science

State licenses

LicenseStateTypeSpecialty
BH003453PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Connections LLC Behavior Analyst CurrentSince Apr 19, 2020 Accepting new patients
Piece of Our Puzzle LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tara@pieceofourpuzzle.com

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1962835736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 MAGNOLIA DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190542043",
            "telephone_number": "267-285-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 MAGNOLIA DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190542043",
            "telephone_number": "267-285-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINES",
        "first_name": "TARA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "M.S., BCBA, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003453",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-13-13968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-13-13968",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HUMAN SERVICES- INTENSIVE BEHAVIOR HEALTH SERVICES LICENSE",
            "identifier": "147310",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF MEDICINE",
            "identifier": "BH003453",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038553590001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tara@pieceofourpuzzle.com",
            "affiliation": "Y",
            "affiliationName": "Piece of Our Puzzle LLC",
            "address_1": "37 Vine Ln",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "operations@adapt-connect.com",
            "affiliation": "N",
            "address_1": "281 Magnolia Dr",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190542043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.