Tanaya Bailey
Individual provider Active NPI Behavior Technician · Jeffersonville, IN
NPI 1497629802 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1497629802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 355 Quartermaster CT
Jeffersonville, IN 47130-3670 - Phone
- (812) 258-9802
- NPI assigned
- Sep 30, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
355 Quartermaster CT
Jeffersonville, IN 47130-3670
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
NPI Registry JSON
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1497629802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 QUARTERMASTER CT",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303670",
"telephone_number": "812-258-9802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "TANAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-30",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
- James L Bailen
- Arlydia Denise Bailey
- Debbi Bailey
- Desiree Dawn Bailey
- Kayla Bailey
- Wendell L Bailey
- Jacquelyn Schneider Bainbridge
- Ashley Maureen Baker
- Jerrika Baker
- Jordan Baker
All providers in Jeffersonville, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.