Active NPI
Tiffanie Marie Ryan, MS, BCBA
- Behavior Analyst
- Columbus, OH
National Provider Identifier
1760888762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- COBA.20
- Practice address
- 125 Dillmont Road
Columbus, OH 43235 - Phone
- (614) 844-5433
- NPI assigned
- Nov 18, 2014
- 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 | COBA.20 | OH | Primary |
| Behavior Analyst | 103K00000X | 1-13-14228 |
Addresses
Primary practice location
125 Dillmont Road
Columbus, OH 43235
Mailing address
125 Dillmont Road
Columbus, OH 43235
Phone (614) 844-5433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0072761 | Medicaid | OH |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COBA.20 | OH | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1760888762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DILLMONT ROAD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43235",
"telephone_number": "614-844-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DILLMONT ROAD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43235",
"telephone_number": "614-844-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "TIFFANIE",
"middle_name": "MARIE",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "COBA.20",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-13-14228",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0072761",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.