Individual provider Active NPI

Tiffany Monica Bauer, BCBA, MA PSYCHOLOGY

  • Behavior Analyst
  • Encinitas, CA
National Provider Identifier
1548520257
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3742 Issued in CA
Practice address
721 N Vulcan Ave
Suite 208
Encinitas, CA 92024-2190
Phone
(760) 634-1125
NPI assigned
May 29, 2012
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-07-3742 CA Primary

Addresses

Primary practice location

721 N Vulcan Ave
Suite 208
Encinitas, CA 92024-2190

Mailing address

721 N Vulcan Ave
Suite 208
Encinitas, CA 92024-2190

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Coyne & Associates Education Corp Behavior Analyst CurrentSince Nov 13, 2022 Accepting new patients

Locations

3550 Camino del Rio N
Ste 104
San Diego, CA 92108
Phone (760) 815-9536

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1548520257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N VULCAN AVE",
            "address_2": "SUITE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N VULCAN AVE",
            "address_2": "SUITE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242190",
            "telephone_number": "760-634-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "TIFFANY",
        "middle_name": "MONICA",
        "credential": "BCBA, MA PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-07-3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.