Active NPI
Tara Ann Sines, M.S., BCBA, LBS
- Behavior Analyst
- Levittown, PA
National Provider Identifier
1962835736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-13968
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-13-13968 | Other | PA | BEHAVIOR ANALYST CERTIFICATION BOARD |
| 147310 | Other | PA | DEPARTMENT OF HUMAN SERVICES- INTENSIVE BEHAVIOR HEALTH SERVICES LICENSE |
| BH003453 | Other | PA | STATE BOARD OF MEDICINE |
| 1038553590001 | Medicaid | PA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BH003453 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adaptive Connections LLC | Behavior Analyst | Current | Accepting new patients |
| Piece of Our Puzzle LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Community/Behavioral Health Agency
- Levittown, PA
- NPI 1245691096
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.