Individual provider Active NPI

Tiffany Marie Stephens, TLBA

  • Behavior Analyst
  • Whitley City, KY
National Provider Identifier
1013692540
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
298761 Issued in KY
Practice address
1011 N Highway 27
Whitley City, KY 42653-5025
Phone
(606) 516-4665
NPI assigned
Jun 21, 2023
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X 285356 KY
Behavior Analyst 103K00000X 298761 KY Primary

Addresses

Primary practice location

1011 N Highway 27
Whitley City, KY 42653-5025

Mailing address

574 Meadows Grove Rd
Pine Knot, KY 42635-9152
Phone (606) 516-4665

Other practice location 1

574 Meadows Grove Rd
Pine Knot, KY 42635-9152
Phone (606) 516-4665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
298761KYMDBehavioral Analyst
285356KYMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly Behavior Therapy Group LLC Behavior Analyst CurrentSince May 11, 2025 Accepting new patients
Lake Cumberland Pediatric Therapy, LLC Behavior Analyst PastSince Sep 27, 2020 Accepting new patients
Lake Cumberland Pediatric Therapy, LLC Behavior Analyst PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1013692540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 MEADOWS GROVE RD",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426359152",
            "telephone_number": "606-516-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N HIGHWAY 27",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426535025",
            "telephone_number": "606-516-4665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "574 Meadows Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Pine Knot",
            "state": "KY",
            "postal_code": "426359152",
            "country_code": "US",
            "telephone_number": "606-516-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "TLBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "KY",
            "license": "285356",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "298761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitley City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.