Tiffanie Moore, NCSP, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11416638 Issued in OK

Practice address

600 Liberty LN
Edmond, OK 73034

Phone

(405) 548-1029

Fax

(817) 549-3172

NPI assigned

Sep 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Bluesprig

  • Behavior Technician
  • Edmond, OK
  • NPI 1467316315
  NPD
• Concepts in Counseling, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1639300213

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1033637699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LIBERTY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730349432",
            "telephone_number": "405-548-1029",
            "fax_number": "817-549-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LIBERTY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-548-1029",
            "fax_number": "817-549-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 NW 36th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731122916",
            "country_code": "US",
            "telephone_number": "405-702-9032",
            "fax_number": "405-702-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIFFANIE",
        "credential": "NCSP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "11416638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Moore
• Jordyn Janae Moore
• Katelyn Moore
• Lou Ann Moore, LPC, MED, NCC, NCSC
• Patricia Anne Moore, LPC
• Vernon L Moore Jr.
• Whitney Louise Moore
• Aaron R Mora, DPT
• Daniel Morales Caycho
• Iveliz Kimberly Morales

• Behavior Analyst in Edmond, OK
• Providers in Edmond, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.