Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275916926 Individual Practitioner Female Practitioner

Jeanine Tanz

Behavior Analyst • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Jeanine Tanz is a registered healthcare professional specializing in Behavior Analyst in Melbourne, FL. Practice services are available at 5500 MURRELL RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5500 Murrell Rd Ste 100

Melbourne, FL 329406700

Telephone 3214267759
Fax 3215930839

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
178 Specialists

Practicing in Melbourne, FL (13679 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 11410404

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
019720500 (FL)

Secondary Practice Locations

475 S John Rodes Blvd

Melbourne, FL 329041093

Phone: 3212411170

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dominique Larkin

Behavior Technician

NPI 1003682576
Angelica Bader

Behavior Technician

NPI 1013795079
Jabrea Taylor

Behavior Technician

NPI 1053085217
Catherine Moceri

Behavior Technician

NPI 1053929562
Mckenna Register

Behavior Technician

NPI 1063019644
Karen Lenck

Behavior Technician

NPI 1083187983

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
NPI Profile Active September 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2017

Registered at 5500 MURRELL RD STE 100, MELBOURNE, FL 329406700 (Tel: 3214267759)

📍
Updated Business Mailing Address September 29, 2017

Registered at 5500 MURRELL ROAD, MELBOURNE, FL 32940 (Tel: 3214267759)

👤
Provider Name / Credentials Updated September 29, 2017

Recorded as JEANINE TANZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2017

Behavior Analyst (License #11410404 in FL)

📍
Updated Practice Location August 21, 2017

Registered at 475 S JOHN RODES BLVD, MELBOURNE, FL 329041093 (Tel: (321) 241-1170)

📍
Updated Business Mailing Address August 21, 2017

Registered at 475 S JOHN RODES BLVD, MELBOURNE, FL 329041093 (Tel: (321) 241-1170)

NPI Profile Active December 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2016

Registered at 5500 MURRELL RD STE 100, MELBOURNE, FL 329406700 (Tel: 4072211038)

📍
Updated Business Mailing Address December 20, 2016

Registered at 175 MIDDLE ST UNIT 1201, LAKE MARY, FL 327463625 (Tel: 4072211038)

👤
Provider Name / Credentials Updated December 20, 2016

Recorded as JEANINE TANZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Behavior Analyst (License #11410404 in FL)

🟢
Initial NPI Registration & Enumeration June 30, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275916926
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2015
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

5500 Murrell Road

Melbourne, FL 32940

Phone: 3214267759

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.