NPIMap

Individual provider Active NPI

Tiffany Anne Waltz, BCBA, COBA

  • Behavior Analyst
  • Columbus, OH
National Provider Identifier
1881056745
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
243 Issued in OH
Practice address
2540 Billingsley Rd
Columbus, OH 43235-1990
Phone
(614) 407-6508
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Behavior Analyst 103K00000X 243 OH Primary

Addresses

Primary practice location

2540 Billingsley Rd
Columbus, OH 43235-1990

Mailing address

6486 Reflections Dr
Apt. C
Dublin, OH 43017-2333
Phone (614) 584-0398

Other practice location 1

3400 Snouffer Rd
Columbus, OH 43235-2775
Phone (614) 984-3740

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

State licenses

LicenseStateTypeSpecialty
243OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Behavior Analysis Therapy Behavior Analyst Past Accepting new patients
Buckeye Behavioral Consulting Inc Past Accepting new patients
Haugland, Lamarche, and Ramage LLC Past Accepting new patients
Hopebridge, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 4

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1881056745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6486 REFLECTIONS DR",
            "address_2": "APT. C",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172333",
            "telephone_number": "614-584-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 BILLINGSLEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351990",
            "telephone_number": "614-407-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Snouffer Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432352775",
            "country_code": "US",
            "telephone_number": "614-984-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "TIFFANY",
        "middle_name": "ANNE",
        "credential": "BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "243",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2019; 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.