Individual provider Active NPI

Tiffany Nicole Danh

  • Behavior Technician
  • Mary Esther, FL
National Provider Identifier
1629695010
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
124 E Miracle Strip Pkwy Ste 503
Mary Esther, FL 32569-1991
Phone
(850) 301-0438
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

124 E Miracle Strip Pkwy Ste 503
Mary Esther, FL 32569-1991

Mailing address

124 E Miracle Strip Pkwy Ste 503
Mary Esther, FL 32569-1991
Phone (850) 301-0438

Other practice location 1

140 Christobal Rd
Mary Esther, FL 32569
Phone (850) 582-0089

Other identifiers 1

IdentifierTypeStateIssuer
20-125238OtherFLRBT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL abhatherapy@gmail.com Health Information Exchange (HIE) Advanced Behavior Health Analysis LLC

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

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629695010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MIRACLE STRIP PKWY STE 503",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691991",
            "telephone_number": "850-301-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MIRACLE STRIP PKWY STE 503",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691991",
            "telephone_number": "850-301-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Christobal Rd",
            "address_purpose": "LOCATION",
            "city": "Mary Esther",
            "state": "FL",
            "postal_code": "32569",
            "country_code": "US",
            "telephone_number": "850-582-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANH",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "20-125238",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "abhatherapy@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Advanced Behavior Health Analysis LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "124 E Miracle Strip Pkwy Ste 503",
            "city": "Mary Esther",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325691991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.