MRS. TANISHA NICOLE KINI CARROLL
NPI 1043981962
Behavior Technician in Dallas, GA

Active since September 21, 2021
80 MOSSY OAK LN, DALLAS, GA 30157(678) 794-5578(678) 742-8553 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Tanisha Nicole Kini Carroll NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TANISHA NICOLE KINI CARROLL (NPI 1043981962) is an individual behavior technician in Dallas, Georgia and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1043981962
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMRS. TANISHA NICOLE KINI CARROLL
Location Address80 MOSSY OAK LNDallas, GA 30157-1236
Mailing Address80 Mossy Oak LnDallas, GA 30157-1236 · (678) 794-5578 · Fax (678) 742-8553
Fax(678) 742-8553
Sole ProprietorNo
Enumeration DateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
NPI 1043981962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
80 MOSSY OAK LN, Dallas, GA 30157

Other Names 1

Former Name (1)Tanisha Nicole Kini Leavell

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanisha Carroll's NPI number?

The NPI number for Tanisha Carroll is 1043981962. It was assigned to this individual provider in the NPPES registry on September 21, 2021. The provider is also known as Tanisha Nicole Kini Leavell.

Where is Tanisha Carroll located?

Tanisha Carroll practices at 80 Mossy Oak Ln, Dallas, GA 30157. The listed phone number is (678) 794-5578.

What is Tanisha Carroll's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Tanisha Carroll was last updated on September 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.