Active NPI
Tiffani Burks, MA, M.S. ED
- Behavior Technician
- Long Beach, NY
National Provider Identifier
1750163416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 28 November Walk
Long Beach, NY 11561-2935 - Phone
- (267) 807-0550
- NPI assigned
- Oct 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
28 November Walk
Long Beach, NY 11561-2935
Mailing address
303 Main St Apt 422
Hempstead, NY 11550-1449
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, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevated Kids Ny LLC | Behavior Technician | Current | Accepting new patients |
| Elevated Kids | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1750163416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MAIN ST APT 422",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115501449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 NOVEMBER WALK",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612935",
"telephone_number": "267-807-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "TIFFANI",
"credential": "MA, M.S. ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.