Active NPI
Tiffany Dobry-Mendoza, BCBA, LBA
- Behavior Analyst
- Austin, TX
National Provider Identifier
1609481431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-79069
- Practice address
- 4131 Spicewood Springs Rd Ste K2
Austin, TX 78759-8600 - Phone
- (512) 200-2972
- NPI assigned
- Sep 9, 2020
- Last updated
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-79069 | Primary | |
| Behavior Technician | 106S00000X | 20-134572 | TX |
Addresses
Primary practice location
4131 Spicewood Springs Rd Ste K2
Austin, TX 78759-8600
Mailing address
4131 Spicewood Springs Rd Ste K2
Austin, TX 78759-8600
Phone (512) 200-2972
Other practice location 1
119 Cimarron Park Loop Ste A
Buda, TX 78610-2839
Phone (512) 200-2972
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8061 | Other | TX | TEXAS LICENSURE BOARD |
| 1-25-79609 | Other | BACB | |
| 1-25-79069 | Other | BACB |
Other names 1
- Tiffany Dobry
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 |
|---|---|---|---|
| 20-134572 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1609481431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE K2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598600",
"telephone_number": "512-200-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE K2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598600",
"telephone_number": "512-200-2972"
}
],
"practiceLocations": [
{
"address_1": "119 Cimarron Park Loop Ste A",
"address_purpose": "LOCATION",
"city": "Buda",
"state": "TX",
"postal_code": "786102839",
"country_code": "US",
"telephone_number": "512-200-2972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBRY-MENDOZA",
"first_name": "TIFFANY",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-25-79069",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "20-134572",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSURE BOARD",
"identifier": "8061",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-25-79609",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-25-79069",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "DOBRY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.