Individual provider Active NPI

Tiffany Juarez, MA

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1881327856
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133004329 Issued in VA
Practice address
4652 Haygood Rd Ste C
Virginia Beach, VA 23455-5447
Phone
(757) 655-7274
Fax
(775) 392-1245
NPI assigned
Jul 6, 2022
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133004329 VA Primary

Addresses

Primary practice location

4652 Haygood Rd Ste C
Virginia Beach, VA 23455-5447

Mailing address

2423 S Orange Ave # 353
Orlando, FL 32806-4543
Phone (757) 655-7274

Other practice location 1

2765 Richmond Hwy Ste 105
Stafford, VA 22554-8331
Phone (540) 699-2381

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

State licenses

LicenseStateTypeSpecialty
0133004329VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Autism Partnership, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1881327856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S ORANGE AVE # 353",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064543",
            "telephone_number": "757-655-7274",
            "fax_number": "775-392-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4652 HAYGOOD RD STE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555447",
            "telephone_number": "757-655-7274",
            "fax_number": "775-392-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2765 Richmond Hwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548331",
            "country_code": "US",
            "telephone_number": "540-699-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "TIFFANY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133004329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.