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NPI Code Detail

MEDICARE: TINESHA HINTON

MEDICARE:   TINESHA  HINTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1275230252
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINESHA HINTON
Provider Business Mailing Address
First Line : 4808 NE WINN RD APT 1
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-3659
Country : US
Telephone Number : 318-716-8193
Fax Number :
Provider Business Practice Location Address
First Line : 4808 NE WINN RD APT 1
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-3659
Country : US
Telephone Number : 318-716-8193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2023
Last Update Date : 02/10/2023

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Directions to “ TINESHA HINTON ” Practice Location

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