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Tanisha Mack
NPI 1629688163 · Behavior Technician · Orange Park, FL
Tanisha Mack is a Behavior Technician provider in Orange Park, FL (NPI 1629688163).
Provider details
- NPI number
- 1629688163
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1563 Kingsley Ave Ste 103
Orange Park, FL 32073-4503
Phone: (904) 602-9740
Fax: (904) 637-4724
Street-level locationGet directions
Mailing address
300 International Parkway
Lake Mary, FL 32746-3625
Registry dates
- Enumerated
- 2020-08-07
- Last updated
- 2020-08-07
- Certified
- 2020-08-07
Frequently asked questions
- What is Tanisha Mack's NPI number?
- Tanisha Mack's National Provider Identifier (NPI) is 1629688163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tanisha Mack's specialty?
- Tanisha Mack is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Tanisha Mack located?
- Tanisha Mack's practice location on file with NPPES is 1563 Kingsley Ave Ste 103, Orange Park, FL 32073-4503.
- What is Tanisha Mack's phone number?
- The practice phone number listed in the NPPES registry for Tanisha Mack is (904) 602-9740.
- Is Tanisha Mack's NPI active?
- Yes — Tanisha Mack's NPI (1629688163) is active in the NPPES registry as of the last update on 2020-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.