Tiffany Brooke Frogge, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-295046 Issued in KY

Practice address

402 W Lincoln Trail Blvd Ste C
Radcliff, KY 40160-2011

Phone

(310) 560-9270

Fax

(270) 547-3739

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

No

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.

• Marin Autism Interventions LLC

  • Behavior Analyst
  • Webster, KY
  • NPI 1912592130

  Behavior Technician

  NPD
• Marin Autism Interventions, LLC.

  • Behavior Analyst
  • Webster, KY
  • NPI 1306394291
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1316779366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 EMMANUEL WAY LN",
            "city": "WEBSTER",
            "state": "KY",
            "postal_code": "401765037",
            "telephone_number": "310-560-9270",
            "fax_number": "270-547-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W LINCOLN TRAIL BLVD STE C",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602011",
            "telephone_number": "310-560-9270",
            "fax_number": "270-547-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROGGE",
        "first_name": "TIFFANY",
        "middle_name": "BROOKE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "RBT-23-295046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dynamics Behavioral Health Care PLLC
• Family Practice Associates
• Crystal Dawn Farmer, LPCC
• Ronald Faulkner, MD
• Fresenius Medical Care Nak Radcliff, LLC
• Breanna Fuhrman, APRN, FNP-C
• Tatyana Furman, DMD
• Galena LLC
• Carrie Garnett
• Laquita Gaskins

• All providers in Radcliff, KY
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.