Tiffany Randall, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19-108221 Issued in AZ

Practice address

3420 E Shea Blvd Ste 200
Phoenix, AZ 85028-3348

Phone

(520) 485-8846

NPI assigned

Dec 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autism Behavioral Ventures LLC

  • Behavior Analyst
  • Denver, CO
  • NPI 1124532718

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1508404989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 E 50TH DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383299",
            "telephone_number": "720-961-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283348",
            "telephone_number": "520-485-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "TIFFANY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "19-108221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "19-108221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley J. Randall, AU.D.
• Daniel Randall, CRNA
• Edward Wade Randall, DC
• Jeffrey Scott Randall
• Shawnta R Randall
• Cody Randel, PA-C
• Sandeep Randhawa, MD
• Janel Marie Randle, MC, LPC
• Kathleen Miller Randle, M.S. CCC-SLP
• Tori A Randleman, P.A.-C

• Behavior Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.