Individual provider Active NPI

Tiffany Ann Finnegan, BCBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1093217507
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0352 Issued in NV
Practice address
8072 W Sahara Ave Ste D
Las Vegas, NV 89117-1974
Phone
(725) 205-3628
Fax
(702) 552-2449
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-44377
Behavior Analyst 103K00000X LBA0352 NV Primary

Addresses

Primary practice location

8072 W Sahara Ave Ste D
Las Vegas, NV 89117-1974

Mailing address

8072 W Sahara Ave Ste D
Las Vegas, NV 89117-1974
Phone (725) 205-3628

Other identifiers 1

IdentifierTypeStateIssuer
1033845822MedicaidNV

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
LBA0352NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Hearts LV Behavior Analyst Current Accepting new patients
Happy Hearts LV Behavior Analyst CurrentSince May 21, 2023 Accepting new patients
Achievable Behavior Strategies Behavior Analyst PastSince Dec 1, 2020 Accepting new patients

Locations

8072 W Sahara Ave
Ste D
Las Vegas, NV 89117
Phone (725) 205-3628

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1093217507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8072 W SAHARA AVE STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171974",
            "telephone_number": "725-205-3628",
            "fax_number": "702-552-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8072 W SAHARA AVE STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171974",
            "telephone_number": "725-205-3628",
            "fax_number": "702-552-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-44377",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033845822",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.