Individual provider Active NPI

Tiffany Seepaul, BCBA

  • Behavior Analyst
  • Lutz, FL
National Provider Identifier
1750829339
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47031 Issued in FL
Practice address
2408 Vandervort Rd
Lutz, FL 33549-5756
Phone
(727) 514-5239
Fax
(813) 358-1033
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-10389 FL
Behavior Analyst 103K00000X 1-21-47031 FL Primary

Addresses

Primary practice location

2408 Vandervort Rd
Lutz, FL 33549-5756

Mailing address

2408 Vandervort Rd
Lutz, FL 33549-5756
Phone (727) 514-5239

Other names 1

  • Tiffany O'Brien Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Designed for Abundance LLC Behavior Analyst CurrentSince Dec 8, 2024 Accepting new patients
Behavioral Progression, Inc Behavior Analyst PastSince Jul 25, 2021 Accepting new patients
Behavioral Progression, Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1750829339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 VANDERVORT RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495756",
            "telephone_number": "727-514-5239",
            "fax_number": "813-358-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 VANDERVORT RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495756",
            "telephone_number": "727-514-5239",
            "fax_number": "813-358-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEPAUL",
        "first_name": "TIFFANY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10389",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-47031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "O'BRIEN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.