NPI 1710602735 · live from the CMS NPI Registry
Mailtyn Hines, RBT
Behavior Analyst in South Charleston, WV. National Provider Identifier 1710602735, active.
NPI record
| NPI | 1710602735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 325 6th Ave, South Charleston, WV 25303 |
| Practice phone | 304-720-3383 |
| Enumerated | October 12, 2022 |
| Last updated | January 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.