Tiasha Burdis

Key facts

NPI

1104375138

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

201 Saint Charles Ave
Suite 2500
New Orleans, LA 70170-1000

Phone

(888) 880-9270

NPI assigned

Oct 3, 2016

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2016.

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1104375138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411817",
            "telephone_number": "888-880-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT CHARLES AVE",
            "address_2": "SUITE 2500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701701000",
            "telephone_number": "888-880-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDIS",
        "first_name": "TIASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

• Jennifer Ann Buras, LCSW
• Melanie Buras
• Brooke Loren Burch
• Rachel Nicole Burdette, MS ATC, OTC
• Taylor Marie Burdick
• Kathy A Burford, RN
• Caroline Michelle Burg, NP
• Mary H Burg, CRNA
• Lenny J Burgos
• Aden A. Burka, PHD

All providers in New Orleans, LA · Behavior Technician in Louisiana