Individual
MISS TARA ANN SINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBS
Contact information
Practice address
281 MAGNOLIA DR, LEVITTOWN, PA 19054-2043
(267) 285-3288
Mailing address
281 MAGNOLIA DR, LEVITTOWN, PA 19054-2043
(267) 285-3288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13968
PA
103K00000X
Behavior Analyst
BH003453
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-13968
BEHAVIOR ANALYST CERTIFICATION BOARD
PA
05
—
1038553590001
—
PA
01
—
147310
DEPARTMENT OF HUMAN SERVICES- INTENSIVE BEHAVIOR HEALTH SERVICES LICENSE
PA
01
—
BH003453
STATE BOARD OF MEDICINE
PA
Enumeration date
08/15/2013
Last updated
03/24/2021
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