Tiffany Zenisek

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

133 Boulder Hill Pass
Montgomery, IL 60538-2325

Phone

(331) 444-6319

NPI assigned

Jan 14, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bertling ABA, Inc

  • Behavior Analyst
  • Lemont, IL
  • NPI 1306495585
  NPD (past)

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1679113948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BOULDER HILL PASS",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382325",
            "telephone_number": "331-444-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BOULDER HILL PASS",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382325",
            "telephone_number": "331-444-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENISEK",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tzenisek@bertlingaba.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1750 Apple Valley Rd",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604906509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie Worthington, IBCLC
• Caitlyn Marie Wysoglad
• Richard Yullambo Yenkong, APN
• You Matter We Care L.L.C.
• Clorissa Young, MA, LCPC
• Lisa Marie Zwemke, PHARMD

• Assistant Behavior Analyst in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Assistant Behavior Analyst in Illinois

• 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.