Active NPI
Tiffany Mora
- Behavior Technician
- Reno, NV
National Provider Identifier
1275010795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 0804914829
- Practice address
- 140 Chism St Apt 6
Reno, NV 89503-5549 - Phone
- (775) 400-5518
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 0804914829 | NV | Primary |
Addresses
Primary practice location
140 Chism St Apt 6
Reno, NV 89503-5549
Mailing address
2411 Emblem St
Sparks, NV 89436-9171
Phone (775) 335-6953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106S00000X | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0804914829 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helix Behavioral Services | Behavior Technician | Past | Accepting new patients |
| Northern Nevada Center for Behavioral Services | Behavior Technician | Past | Accepting new patients |
| Helix Behavioral Services | Behavior Technician | Past | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Sparks, NV
- NPI 1427542406
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1275010795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 EMBLEM ST",
"city": "SPARKS",
"state": "NV",
"postal_code": "894369171",
"telephone_number": "775-335-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CHISM ST APT 6",
"city": "RENO",
"state": "NV",
"postal_code": "895035549",
"telephone_number": "775-400-5518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "TIFFANY",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "NV",
"license": "0804914829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106S00000X",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.